Organization
LOTUS LIFE TOTAL WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA BEVERLY MS, NCC, CBIS (FOUNDER AND CEO)
(443) 934-5019
Entity
Organization
Contact information
Practice address
44 PELHAM DR, COATESVILLE, PA 19320-1951
(484) 784-6272
Mailing address
44 PELHAM DR, COATESVILLE, PA 19320-1951
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
08/23/2022
Last updated
01/18/2023
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