Provider Demographics
NPI:1245525062
Name:LOTUS NATURAL HEALTH CENTER
Entity type:Organization
Organization Name:LOTUS NATURAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP/LAC
Authorized Official - Phone:360-293-3461
Mailing Address - Street 1:PO BOX 2035
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-7035
Mailing Address - Country:US
Mailing Address - Phone:360-293-3461
Mailing Address - Fax:
Practice Address - Street 1:1005 7TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-4105
Practice Address - Country:US
Practice Address - Phone:360-293-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00002889171100000X
WA00001811171100000X
WA00000762171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty