Organization
LOLEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD JACOB (CEO)
(972) 899-3456
Entity
Organization
Contact information
Practice address
2012 JUSTIN RD, SUITE 200, LEWISVILLE, TX 75077-7193
(972) 899-3456
(888) 433-6076
Mailing address
148 LEVEE PL, COPPELL, TX 75019-2099
(888) 433-6076
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
06/13/2009
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