MEDICARE: HER CROWN BY LILIAN, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1528993763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HER CROWN BY LILIAN, LLC

Provider Business Mailing Address
First Line	:	2673 SEA SHORE DR
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-6077
Country	:	US
Telephone Number	:	504-344-5612
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 BIENVILLE ST STE 104
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5149
Country	:	US
Telephone Number	:	504-344-5612
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LILIAN C LOFTON
Credential	:	LOFTON
Telephone Number	:	504-344-5612

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/24/2026

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Directions to “HER CROWN BY LILIAN, LLC ” Practice Location

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