1326202789 NPI number — LOTUS STRESS RELIEF L.L.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326202789 NPI number — LOTUS STRESS RELIEF L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOTUS STRESS RELIEF L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326202789
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2965 BEE RIDGE RD
Provider Second Line Business Mailing Address:
LOTUS STRESS RELIEF
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34239-7114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-706-2778
Provider Business Mailing Address Fax Number:
941-706-2823

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2965 BEE RIDGE RD
Provider Second Line Business Practice Location Address:
LOTUS STRESS RELIEF
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34239-7114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-706-2778
Provider Business Practice Location Address Fax Number:
941-706-2823
Provider Enumeration Date:
07/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SCHULTE
Authorized Official First Name:
ALLAN
Authorized Official Middle Name:
ARTHUR
Authorized Official Title or Position:
DIRECTOR/PRESIDENT
Authorized Official Telephone Number:
941-706-2778

Provider Taxonomy Codes

  • Taxonomy code: 103TH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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