LOTUS INTEGRATED LONGEVITY ANTI-AGING CENTER, INC. is a specialist in Voorhees, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOTUS INTEGRATED LONGEVITY ANTI-AGING CENTER, INC. NPI is 1497186167. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As L.i.l.a.c..
The provider's business location address is:
2301 E EVESHAM RD
VOORHEES, NJ
ZIP 08043-501
Phone: (856) 772-4971
Fax: (856) 772-1140
The provider's authorized official is Epifania Cruz .
The authorized official title is Medical Director and has the following contact phone number (856) 772-4971.
The CLIA number assigned to this NPI record is 31D2041577 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.