Provider Demographics
NPI:1548536196
Name:ANG, LOLITA O (MD)
Entity type:Individual
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First Name:LOLITA
Middle Name:O
Last Name:ANG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8400 LOUISIANA ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6385
Mailing Address - Country:US
Mailing Address - Phone:219-757-1924
Mailing Address - Fax:219-757-1950
Practice Address - Street 1:3903 INDIANAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-2555
Practice Address - Country:US
Practice Address - Phone:219-398-7050
Practice Address - Fax:219-392-3998
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2017-02-02
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Provider Licenses
StateLicense IDTaxonomies
IN01033964B2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry