Organization
LOTUS THERAPY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CARROLL MS, RD, LDN (LEAD DIETITIAN, CO-OWNER)
(708) 552-7330
Entity
Organization
Contact information
Practice address
112 KANSAS ST, FRANKFORT, IL 60423-1447
(708) 552-7330
Mailing address
112 KANSAS ST, FRANKFORT, IL 60423-1447
(708) 552-7330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/30/2020
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