Provider Demographics
NPI:1396837647
Name:LOTUSEATERS INC
Entity Type:Organization
Organization Name:LOTUSEATERS INC
Other - Org Name:LMI ORTHO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:HIBBINS
Authorized Official - Last Name:SCLUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-883-0011
Mailing Address - Street 1:7516 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046
Mailing Address - Country:US
Mailing Address - Phone:323-883-0011
Mailing Address - Fax:323-883-0014
Practice Address - Street 1:7516 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046
Practice Address - Country:US
Practice Address - Phone:323-883-0011
Practice Address - Fax:323-883-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADURABLE MEDICAL EQUI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies