MEDICARE: THE LOTUS CENTER OF ORIENTAL MEDICINE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP1215	FL

General Provider Information

NPI Number	:	1699899518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LOTUS CENTER OF ORIENTAL MEDICINE INC

Provider Business Mailing Address
First Line	:	6501 NORTH FEDERAL HIGHWAY
Second Line	:	SUITE 3
City	:	BOCA RATON
State	:	FL
Zip	:	33487
Country	:	US
Telephone Number	:	561-353-4150
Fax Number	:	561-353-4151

Provider Business Practice Location Address
First Line	:	6501 NORTH FEDERAL HIGHWAY
Second Line	:	SUITE 3
City	:	BOCA RATON
State	:	FL
Zip	:	33487
Country	:	US
Telephone Number	:	561-353-4150
Fax Number	:	561-353-4151

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LINDA LESPERANCE JR.
Credential	:	LAC
Telephone Number	:	561-353-4150

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	08/22/2020

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