NPI | 1891304325 |
---|---|
Doing Business As | LOTUS INTEGRATIVE HEALING |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PAGE Medical Doctor 631-235-0866 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-07-30 |
Last Update Date | 2021-07-01 |