Organization
LOLITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDSAY TIGHE (PRESIDENT)
(404) 484-1459
Entity
Organization
Contact information
Practice address
5355 COMMERCE BLVD, CROWN POINT, IN 46307-5325
(219) 756-0660
(219) 756-0608
Mailing address
4420 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7342
(575) 642-5800
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/26/2025
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