Organization
LOLITA AESTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LOLITA GREEN NP (OWNER)
(817) 637-1770
Entity
Organization
Contact information
Practice address
6101 AUGUST RUN, ARLINGTON, TX 76017-0543
(817) 637-1770
(817) 394-2415
Mailing address
6101 AUGUST RUN, ARLINGTON, TX 76017-0543
(817) 637-1770
(817) 394-2415
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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