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LOTUS GROUP LLC NPI 1831874395


NPI Information

NPI: 1831874395
Provider Name: LOTUS GROUP LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1605 VERNON RD STE 1600
LAGRANGE, GA
ZIP 30240
Phone: (706) 577-2883
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LOTUS GROUP LLC is an infusion therapy clinic center in Lagrange, GA. LOTUS GROUP LLC NPI is 1831874395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1605 VERNON RD STE 1600
LAGRANGE, GA
ZIP 30240-166
Phone: (706) 577-2883

The provider's authorized official is Lethenia Joy Baker .
The authorized official title is Medical Director and has the following contact phone number (706) 577-2883.

The enumeration date for this NPI number is 6/21/2023 and was last updated on 6/21/2023.


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
1163WG0000XRegistered NurseGeneral PracticeNo
2163WI0500XRegistered NurseInfusion TherapyNo
3163WN1003XRegistered NurseNutrition SupportNo
4202D00000XIntegrative MedicineNo
5363LA2200XNurse PractitionerAdult HealthNo
6163WD0400XRegistered NurseDiabetes EducatorNo
7363LF0000XNurse PractitionerFamilyNo
8261QI0500XClinic/CenterInfusion TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003135520MEDICAIDGEORGIA

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: 5/5/2024

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