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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