Healthcare Provider Details
I. General information
NPI: 1508720491
Provider Name (Legal Business Name): LOTTIEWORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17138 N ELDRIDGE PKWY STE D
TOMBALL TX
77377-8288
US
IV. Provider business mailing address
539 W COMMERCE ST # 1783
DALLAS TX
75208-1953
US
V. Phone/Fax
- Phone: 346-813-0234
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAWN
LOTTIE
Title or Position: MS.
Credential:
Phone: 346-813-0234