Organization
LOTUS WELLNESS AND INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE C CAIETTA PA (PHYSICIAN ASSISTANT)
(631) 245-9799
Entity
Organization
Contact information
Practice address
807 MCGARVEY CT, MYRTLE BEACH, SC 29579-3610
(631) 245-9799
Mailing address
807 MCGARVEY COURT, MYRTLE BEAC, SC 29579
(631) 245-9799
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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