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Organization

LOTUS WELLNESS AND INTEGRATIVE MEDICINE LLC

Active
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Organization

LOTUS WELLNESS AND INTEGRATIVE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELE C CAIETTA PA (PHYSICIAN ASSISTANT)
(631) 245-9799
Entity
Organization

Contact information

Practice address
807 MCGARVEY CT, MYRTLE BEACH, SC 29579-3610
(631) 245-9799
Mailing address
807 MCGARVEY COURT, MYRTLE BEAC, SC 29579
(631) 245-9799

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
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