Provider Demographics
NPI:1811688765
Name:LOTUS WOMEN'S CENTER
Entity type:Organization
Organization Name:LOTUS WOMEN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLEW
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:423-432-6282
Mailing Address - Street 1:320 N HOLTZCLAW AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2305
Mailing Address - Country:US
Mailing Address - Phone:423-432-6282
Mailing Address - Fax:423-654-8901
Practice Address - Street 1:320 N HOLTZCLAW AVE STE 104
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2305
Practice Address - Country:US
Practice Address - Phone:423-432-6282
Practice Address - Fax:423-654-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty