Lolita Aesthetics Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LOLITA AESTHETICS INC

Practice address

6101 August Run
Arlington, TX 76017-0543

Phone

(817) 637-1770

Fax

(817) 394-2415

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Donna Lolita Green, NP

Title

Owner

Phone

(817) 637-1770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1700407780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 AUGUST RUN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760170543",
            "telephone_number": "817-637-1770",
            "fax_number": "817-394-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 AUGUST RUN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760170543",
            "telephone_number": "817-637-1770",
            "fax_number": "817-394-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLITA AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LOLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-637-1770",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lodwick, M.D.
• Amanda Leanne Logan
• Coquice Logan
• Logos Iop, LLC
• Loial Rehab LLC
• Kiana Lomax
• Susan H. Lombardi, MD
• Chad London, DC
• Lone Star Assist LLC
• Lone Star Dental Center

• Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.