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Organization

LOTUS LIBERATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANJANA MURALIDHARAN (OWNER)
(667) 354-7079
Entity
Organization

Contact information

Practice address
822 GUILFORD AVE # 1808, BALTIMORE, MD 21202-3707
(667) 354-7079
Mailing address
822 GUILFORD AVE # 1808, BALTIMORE, MD 21202-3707
(667) 354-7079

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144770355
NPPES
Enumeration date
12/12/2022
Last updated
12/30/2022
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