Provider Demographics
NPI:1912873134
Name:WHITE LOTUS THERAPEUTICS INC
Entity type:Organization
Organization Name:WHITE LOTUS THERAPEUTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:586-530-0562
Mailing Address - Street 1:3456 TEJON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3435
Mailing Address - Country:US
Mailing Address - Phone:586-530-0562
Mailing Address - Fax:586-530-0562
Practice Address - Street 1:3456 TEJON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3435
Practice Address - Country:US
Practice Address - Phone:586-530-0562
Practice Address - Fax:586-530-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty