# LAVENDER LOTUS ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447532403
- **Authorized official:** BRANDIE BETH ARMIJO LPN, MSOM, LAC (OWNER)
- **Authorized official phone:** (608) 213-2933

## Contact information

- **Practice address:** 130 GREGOR ST, WATERLOO, WI 53594-1224
- **Practice address phone:** (608) 213-2933
- **Mailing address:** 204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
- **Mailing address phone:** (608) 213-2933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 09/15/2011