Provider Demographics
NPI:1760101802
Name:THE LOTUS CENTER
Entity Type:Organization
Organization Name:THE LOTUS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-747-2346
Mailing Address - Street 1:9370 STUDIO CT STE 100E
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-8047
Mailing Address - Country:US
Mailing Address - Phone:916-747-2346
Mailing Address - Fax:916-747-0902
Practice Address - Street 1:9370 STUDIO CT STE 100E
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-8047
Practice Address - Country:US
Practice Address - Phone:916-747-2346
Practice Address - Fax:916-747-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty