Provider Demographics
NPI:1952052474
Name:HEALING LOTUS ACUPUNCTURE LLC.
Entity Type:Organization
Organization Name:HEALING LOTUS ACUPUNCTURE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUAN
Authorized Official - Suffix:
Authorized Official - Credentials:L OM
Authorized Official - Phone:610-368-4329
Mailing Address - Street 1:229 E KING ST
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2517
Mailing Address - Country:US
Mailing Address - Phone:610-686-3040
Mailing Address - Fax:
Practice Address - Street 1:229 E KING ST
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2517
Practice Address - Country:US
Practice Address - Phone:610-686-3040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty