Organization
LOTUS BODY LAB LLC
Active
Other names
Lotus Body Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA LOVE ND (MANAGING PARTNER)
(216) 702-2086
Entity
Organization
Contact information
Practice address
3755 MAIN ST STE 101, COLLEGE PARK, GA 30337-3543
(404) 500-4006
Mailing address
4725 WALTON XING SW APT 4315, ATLANTA, GA 30331-6026
(216) 702-2086
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/20/2023
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