Lola Dennis, PA-C

NPI #1174140909 in Eaton, Ohio

Provider Information

NPI Number: 1174140909
Entity Type: Individual
Name: Lola Dennis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 27, 2020
Last Updated: May 13, 2021

Practice Location

Address: 109 E WASHINGTON JACKSON RD STE B
City: Eaton
State: Ohio
ZIP Code: 45320-9793
Phone: (937) 456-2155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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