Individual
LOLITA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7980 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2722
(763) 355-7177
Mailing address
7201 120TH AVE N, CHAMPLIN, MN 55316-2260
(763) 355-7177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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