Blaise Lolika is a Contractor based in Tucson, AZ. Blaise Lolika practices in Tucson, AZ. The NPI Number for Blaise Lolika is 1164897567 and holds a License No. BH-4758 (Arizona).
The current practice location address for Blaise Lolika is 3130 S Portia Ave, Tucson, AZ and can be reached out via phone at 520-881-4813.
Location: 3130 S Portia Ave, Tucson, AZ, 85730-1449
Provider Profile Details
NPI Number
1164897567
Provider Name
Blaise Lolika
Credential
Provider Entity Type
Individual
Gender
Male
Address
3130 S Portia Ave, Tucson, AZ, 85730-1449
Phone Number
520-881-4813
Fax Number
Provider Enumeration Date
12/10/2015
Last Update Date
05/18/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093847 | 05 | AZ | |
| BH-4758 | 01 | AZ | AZ DEPT OF HEALTH SVCS |
Provider Business Practice Location Address Details
Address
3130 S Portia Ave
City
State
Zip
85730-1449
Phone Number
520-881-4813
Fax Number
Provider Business Mailing Address Details
Address
3130 S Portia Ave
City
State
Zip
85730-1449
Phone Number
520-881-4813
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
BH4758 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH-4758 (Arizona)
Definition
Definition to come.
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