Provider Demographics
NPI:1275937609
Name:LOTUS ACUPUNCTURE
Entity Type:Organization
Organization Name:LOTUS ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOA
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:561-635-9383
Mailing Address - Street 1:3727 N GOLDENROD RD
Mailing Address - Street 2:104
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8611
Mailing Address - Country:US
Mailing Address - Phone:321-800-4455
Mailing Address - Fax:
Practice Address - Street 1:1909 LAKE BALDWIN LN
Practice Address - Street 2:208
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6927
Practice Address - Country:US
Practice Address - Phone:561-635-9383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3029302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization