Wandering Lotus Healing Arts, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WANDERING LOTUS HEALING ARTS, LLC

Practice address

7340 Grace Dr Ste a
Columbia, MD 21044-3241

Phone

(443) 832-3269

NPI assigned

Jan 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Marie Despres, LACNPI 1760251722

Title

Owner

Phone

(443) 832-3269

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Despres, MAC, LAC

  • Acupuncturist
  • Columbia, MD
  • NPI 1760251722
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1821859000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 SPRING HOUSE CT",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217977541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 GRACE DR STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443241",
            "telephone_number": "443-832-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERING LOTUS HEALING ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "DESPRES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-832-3269",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kondi O Walters-Smith, CRNP
• Dianne Elizabeth Walters
• Obrielle Walters
• Christina Walther, RBT
• Sophia Wan
• Alice C Wang, D.M.D., M.S.
• Margaret Heqiao Wang, M.D.
• Mingxiang Wang, PHARMD
• Pamela Wang, LGPC
• Veronica Son Wang, MD

• Acupuncturist in Columbia, MD
• Providers in Columbia, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.