Organization
LOTUS, OLJ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAUER LISA (OWNER)
(770) 360-9877
Entity
Organization
Contact information
Practice address
3330 PRESTON RIDGE RD, ALPHARETTA, GA 30005-4508
(770) 360-9877
Mailing address
3330 PRESTON RIDGE RD, ALPHARETTA, GA 30005-4508
(770) 360-9877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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