Organization
LOTUS NUTRITION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYANKA JONNALAGADDA RD (REGISTERED DIETITIAN)
(201) 919-3905
Entity
Organization
Contact information
Practice address
19 MASAR RD, BOONTON, NJ 07005-8921
(201) 919-3905
Mailing address
PO BOX 313, MONTVILLE, NJ 07045-0313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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