Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mia Lassiter Medlock, PA-C

Individual provider Physician Assistant · NPI 1518417799

Mia Lassiter Medlock, PA-C is a Physician Assistant in Lancaster, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

838 W Meeting St Medical Arts 5 Ste H
Lancaster, SC 29720
Phone: (803) 286-7633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2619 (SC)

Record details

NPI number1518417799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2016
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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