Healthcare Provider Details

I. General information

NPI: 1528226461
Provider Name (Legal Business Name): LOTUS WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 DOESKIN DRIVE
APEX NC
27539-8644
US

IV. Provider business mailing address

3920 DOESKIN DRIVE
APEX NC
27539-8644
US

V. Phone/Fax

Practice location:
  • Phone: 919-762-0729
  • Fax: 888-965-9917
Mailing address:
  • Phone: 919-762-0729
  • Fax: 888-965-9917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MONICA DABNEY
Title or Position: PRES
Credential: AP-LAC
Phone: 305-967-0626