Provider Demographics
NPI:1578854816
Name:PURPLE LOTUS DOULAS LLC
Entity Type:Organization
Organization Name:PURPLE LOTUS DOULAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FINGERHUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-757-0070
Mailing Address - Street 1:4345 NEOSHO ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-1411
Mailing Address - Country:US
Mailing Address - Phone:314-757-0070
Mailing Address - Fax:
Practice Address - Street 1:4345 NEOSHO ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-1411
Practice Address - Country:US
Practice Address - Phone:314-757-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty