Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Lolis C Tackwood

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1457687212

Mr. Lolis C Tackwood is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2500 Wilshire Blvd 922
Los Angeles, CA 90057-4303
Phone: (213) 487-9800
Fax: (213) 487-9801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1457687212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2009
Last updated in NPPESOctober 28, 2009

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