LAVENDER LOTUS ACUPUNCTURE LLC (NPI# 1447532403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447532403 |
Entity Type | Organization |
Organization Name | LAVENDER LOTUS ACUPUNCTURE LLC |
Practice Address |
130 Gregor St Waterloo WI 53594-1224 |
Mailing Address |
204 W Cottage Grove Rd Cottage Grove WI 53527-9211 |
Practice Telephone | 6082132933 |
Mailing Telephone | 6082132933 |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |
Authorized Official Name | BRANDIE BETH ARMIJO (OWNER) |
Authorized Official Telephone | 6082132933 |
Authorized Official Credential | LPN, MSOM, LAC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
130 GREGOR ST |
City | WATERLOO |
State | WI |
Zip Code | 53594-1224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437571320 | Waterloo Family Dental | Dentist | 245 N. Monroe Street, Waterloo, WI 53594 | 2014-01-10 |
1073672440 | Drs Anderson & Arena | Dentist | 245 N Monroe St, Waterloo, WI 53594 | 2006-12-08 |
1407921729 | Krystal Renee Allison | Registered Nurse | N7809 Toppe Rd, Waterloo, WI 53594 | 2006-11-21 |
1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
1447445465 | Joseph L Arena | Dentist | 245 N Monroe St, Drs Anderson & Arena, Waterloo, WI 53594-1126 | 2007-09-12 |
1831693134 | Waterloo Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 806 N Monroe St, Waterloo, WI 53594-1135 | 2018-03-21 |
1447882212 | Adrianne Parker Anding | Specialist/Technologist | 324 N Monroe St Apt A, Waterloo, WI 53594-1154 | 2020-02-10 |
1275712804 | Waterloo School District | Local Education Agency (LEA) | 813 N Monroe St, Waterloo, WI 53594-1171 | 2007-10-31 |
1053361246 | Jenifer A Siragusa | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2006-05-11 |
Find all providers in zip 53594 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922385152 | Waterloo Chiropractic and Rehabilitation Center P.C. | Clinic/Center | 305 S Moore St Ste A, Waterloo, IL 62298-1328 | 2011-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518446558 | Northwoods Family Physical Medicine of Wisconsin, S.c. | Clinic/Center | 2360a Duck Creek Pkwy Ste 2, Green Bay, WI 54303-3377 | 2018-08-10 |
1104222330 | Premier Cardiovascular Institute of Wisconsin LLC | Clinic/Center | 1309 S 54th St, Milwaukee, WI 53214-3404 | 2014-11-17 |
1629498522 | Asana Health & Wellness LLC | Clinic/Center | 2372 S Oneida St, Green Bay, WI 54304-5256 | 2014-04-18 |
1467792457 | Vein Care Associates S.c. | Clinic/Center | 215 Corporate Drive, Suite H, Beaver Dam, WI 53916-3124 | 2013-02-27 |
1043501356 | Steven Victor Bittorf | Clinic/Center | 2505 Parkwood Dr, Green Bay, WI 54304-1956 | 2011-04-21 |
1881927812 | Gail A Weinand | Clinic/Center | 203 Schiek Plz, Rhinelander, WI 54501-3364 | 2009-09-09 |
1932368685 | Center for Stomach & Intestinal Disorders Ltd | Clinic/Center | 2300 N Mayfair Rd Ste 725, Wauwatosa, WI 53226-1533 | 2008-06-07 |
1568641439 | Daniel L. Gauerkei Dba Broadway Vision Center | Clinic/Center | 815 W Fulton St, Suite 103, Waupaca, WI 54981-1405 | 2007-10-29 |
1174723084 | Bruns Chiropractic Office Sc | Clinic/Center | 1429 North Ave, Sheboygan, WI 53083-4760 | 2007-07-19 |
1891919411 | Raether Chiropractic Office, S.c. | Clinic/Center | 511 E Rhine St, Elkhart Lake, WI 53020-0673 | 2007-04-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.