| Lolita Llc | |
|
5355 Commerce Blvd Crown Point IN 46307-5325 | |
| (219) 756-0660 | |
| (219) 756-0608 |
| Full Name | Lolita Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5355 Commerce Blvd, Crown Point, Indiana |
| Authorized Official Name and Position | Lindsay Tighe (PRESIDENT) |
| Authorized Official Contact | 4044841459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lolita Llc 4420 N Sonoma Ranch Blvd Ste B Las Cruces NM 88011-7342 Ph: (575) 642-5800 | Lolita Llc 5355 Commerce Blvd Crown Point IN 46307-5325 Ph: (219) 756-0660 |
| NPI Number | 1275419350 |
|---|---|
| Provider Enumeration Date | 08/13/2025 |
| Last Update Date | 08/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275419350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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