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Individual

THEO JAMES LERIOTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10112300
NJ
207P00000X
Emergency Medicine Physician
OS018913
PA

Other

Enumeration date
06/18/2013
Last updated
06/03/2026
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