Provider Demographics
NPI:1033742952
Name:TLC AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:TLC AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-901-1082
Mailing Address - Street 1:7625 STATE ROUTE 973
Mailing Address - Street 2:
Mailing Address - City:DUNMOR
Mailing Address - State:KY
Mailing Address - Zip Code:42339-2015
Mailing Address - Country:US
Mailing Address - Phone:310-901-1082
Mailing Address - Fax:
Practice Address - Street 1:7625 STATE ROUTE 973
Practice Address - Street 2:
Practice Address - City:DUNMOR
Practice Address - State:KY
Practice Address - Zip Code:42339-2015
Practice Address - Country:US
Practice Address - Phone:310-901-1082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty