Organization Active NPI

Lolita LLC

  • Multi-Specialty Clinic/Center
  • Crown Point, IN
National Provider Identifier
1275419350
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LOLITA LLC
Practice address
5355 Commerce Blvd
Crown Point, IN 46307-5325
Phone
(219) 756-0660
Fax
(219) 756-0608
NPI assigned
Aug 13, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lindsay Tighe
Title
President
Phone
(404) 484-1459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5355 Commerce Blvd
Crown Point, IN 46307-5325

Mailing address

4420 N Sonoma Ranch Blvd Ste B
Las Cruces, NM 88011-7342
Phone (575) 642-5800

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1275419350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 N SONOMA RANCH BLVD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117342",
            "telephone_number": "575-642-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 COMMERCE BLVD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075325",
            "telephone_number": "219-756-0660",
            "fax_number": "219-756-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "TIGHE",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-484-1459",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.