# LOLITA CHANDLER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** quality care center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295074433
- **Authorized official:** MS. LOLITA CHANDLER (OWNER)
- **Authorized official phone:** (313) 368-0005

## Contact information

- **Practice address:** 19953 CONANT ST, DETROIT, MI 48234-1334
- **Practice address phone:** (248) 291-5801
- **Mailing address:** 19953 CONANT, DETROIT, MI 48237-2535
- **Mailing address phone:** (313) 740-2672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6801080545 | MI | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | 5501004655 | MI | — |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 05/02/2014