Provider Demographics
NPI:1295394518
Name:LOTUS HEALING ARTS LLC
Entity Type:Organization
Organization Name:LOTUS HEALING ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDERFEIND
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT LAC
Authorized Official - Phone:203-243-1805
Mailing Address - Street 1:20 DEEPWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2632
Mailing Address - Country:US
Mailing Address - Phone:203-243-1805
Mailing Address - Fax:
Practice Address - Street 1:6527 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1385
Practice Address - Country:US
Practice Address - Phone:203-243-1805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty