Organization
LAVENDER LOTUS ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE BETH ARMIJO LPN, MSOM, LAC (OWNER)
(608) 213-2933
Entity
Organization
Contact information
Practice address
130 GREGOR ST, WATERLOO, WI 53594-1224
(608) 213-2933
Mailing address
204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
(608) 213-2933
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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