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Organization
THE LOTUS CENTER INCORPORATED
Active
Organization
THE LOTUS CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER MARIE HALL MD (OWNER)
(650) 455-5507
Entity
Organization
Contact information
Practice address
9370 STUDIO CT STE 100E, ELK GROVE, CA 95758-8047
(916) 747-2346
(916) 747-0902
Mailing address
9964 WINKLE CIR, ELK GROVE, CA 95757-6277
(650) 455-5507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407886989
NPI
—
Enumeration date
12/29/2017
Last updated
08/17/2022
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