LOTUS HEALTHCARE AND AESTHETICS LLC NPI 1770154627

NPI Information

NPI: 1770154627
Provider Name: LOTUS HEALTHCARE AND AESTHETICS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2235800

Address:
340 W 23RD ST
PANAMA CITY, FL
ZIP 32405
Phone: (850) 628-0711
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LOTUS HEALTHCARE AND AESTHETICS LLC is a family nurse practitioner in Panama City, FL. LOTUS HEALTHCARE AND AESTHETICS LLC NPI is 1770154627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 W 23RD ST
PANAMA CITY, FL
ZIP 32405-600
Phone: (850) 628-0711

The provider's authorized official is Lindsay May Hetrick .
The authorized official title is Owner/ Aprn and has the following contact phone number (850) 628-0711.

The CLIA number assigned to this NPI record is 10D2235800 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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