NPI | 1073221974 |
---|---|
Doing Business As | BLUE LOTUS PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MINDY VONWEIHE Practice Administrator 402-356-8601 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2022-11-09 |
Last Update Date | 2023-04-27 |