Provider Demographics
NPI:1124793559
Name:LOTUS FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LOTUS FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SABIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-421-8294
Mailing Address - Street 1:1350 WOOTEN LAKE RD NW STE 102
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-1346
Mailing Address - Country:US
Mailing Address - Phone:404-421-8294
Mailing Address - Fax:
Practice Address - Street 1:1350 WOOTEN LAKE RD NW STE 102
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1346
Practice Address - Country:US
Practice Address - Phone:404-421-8294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty