| NPI | 1164040069 |
|---|---|
| Doing Business As | LOTUS NOIRE HEALTH |
| Entity Type | Organization |
| Authorized Contact | TEMPERANCE TAYLOR Owner 401-305-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-07-22 |