Provider Demographics
NPI:1093109274
Name:LOTUS CHIROPRACTIC CARE LLC
Entity type:Organization
Organization Name:LOTUS CHIROPRACTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY
Authorized Official - Prefix:
Authorized Official - First Name:TANVI
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-719-9539
Mailing Address - Street 1:2150 BRYANT POINTE DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4699
Mailing Address - Country:US
Mailing Address - Phone:404-509-5524
Mailing Address - Fax:
Practice Address - Street 1:1730 MOUNT VERNON RD STE C
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4245
Practice Address - Country:US
Practice Address - Phone:470-719-9539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009447261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service