Provider Demographics
NPI:1528226461
Name:LOTUS WELLNESS, INC.
Entity Type:Organization
Organization Name:LOTUS WELLNESS, INC.
Other - Org Name:MONICA CASTA MORENO AP PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DABNEY
Authorized Official - Suffix:
Authorized Official - Credentials:AP-LAC
Authorized Official - Phone:305-967-0626
Mailing Address - Street 1:3920 DOESKIN DRIVE
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-8644
Mailing Address - Country:US
Mailing Address - Phone:919-762-0729
Mailing Address - Fax:888-965-9917
Practice Address - Street 1:3920 DOESKIN DRIVE
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-8644
Practice Address - Country:US
Practice Address - Phone:919-762-0729
Practice Address - Fax:888-965-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty