# LOTUS BODY LAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lotus Body Lab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447941315
- **Authorized official:** MRS. ANGELA LOVE ND (MANAGING PARTNER)
- **Authorized official phone:** (216) 702-2086

## Contact information

- **Practice address:** 3755 MAIN ST STE 101, COLLEGE PARK, GA 30337-3543
- **Practice address phone:** (404) 500-4006
- **Mailing address:** 4725 WALTON XING SW APT 4315, ATLANTA, GA 30331-6026
- **Mailing address phone:** (216) 702-2086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2023
- **Last updated:** 05/20/2023