| NPI | 1073221974 |
|---|---|
| Doing Business As | BLUE LOTUS PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | BRANDI ANDERSON Office Manager 402-356-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-07-23 |