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NPI Code Detail

MEDICARE: LOTION PRO INC

MEDICARE: LOTION PRO INC
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1760145387
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOTION PRO INC
Provider Business Mailing Address
First Line : 6209 N FAIRFIELD AVE APT 3
Second Line :
City : CHICAGO
State : IL
Zip : 60659-3558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6209 N FAIRFIELD AVE APT 3
Second Line :
City : CHICAGO
State : IL
Zip : 60659-3558
Country : US
Telephone Number : 312-684-4726
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MAHMOOD KHAJA SYED
Credential :
Telephone Number : 312-998-7123
Provider Enumeration Date : 10/20/2021
Last Update Date : 11/17/2021

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Directions to “LOTION PRO INC ” Practice Location

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