Provider Demographics
NPI:1699899518
Name:THE LOTUS CENTER OF ORIENTAL MEDICINE INC
Entity type:Organization
Organization Name:THE LOTUS CENTER OF ORIENTAL MEDICINE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESPERANCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LAC
Authorized Official - Phone:561-353-4150
Mailing Address - Street 1:6501 NORTH FEDERAL HIGHWAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487
Mailing Address - Country:US
Mailing Address - Phone:561-353-4150
Mailing Address - Fax:561-353-4151
Practice Address - Street 1:6501 NORTH FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 3
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487
Practice Address - Country:US
Practice Address - Phone:561-353-4150
Practice Address - Fax:561-353-4151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1215171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty