Organization
LOTUS WELLNESS & WEIGHT LOSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY S LOPEZ FNP-C (OWNER)
(623) 910-2777
Entity
Organization
Contact information
Practice address
320 N MAIN ST, BELEN, NM 87002-3716
(505) 361-1167
(505) 361-1167
Mailing address
320 N MAIN ST, BELEN, NM 87002-3716
(505) 361-1167
(505) 361-1167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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