Healthcare Provider Details

I. General information

NPI: 1528993763
Provider Name (Legal Business Name): HER CROWN BY LILIAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2673 SEA SHORE DR
MARRERO LA
70072-6077
US

IV. Provider business mailing address

2673 SEA SHORE DR
MARRERO LA
70072-6077
US

V. Phone/Fax

Practice location:
  • Phone: 504-344-5612
  • Fax:
Mailing address:
  • Phone: 504-344-5612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: LILIAN C LOFTON
Title or Position: OWNER
Credential: LOFTON
Phone: 504-344-5612