Healthcare Provider Details

I. General information

NPI: 1487487807
Provider Name (Legal Business Name): LOTUS CENTER OF HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 NEW HANOVER MEDICAL PARK DR
WILMINGTON NC
28403-5345
US

IV. Provider business mailing address

1721 NEW HANOVER MEDICAL PARK DR
WILMINGTON NC
28403-5345
US

V. Phone/Fax

Practice location:
  • Phone: 910-726-9976
  • Fax:
Mailing address:
  • Phone: 910-726-9976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH MARIE GORE
Title or Position: OWNER
Credential: DO
Phone: 910-726-9976