NPI | 1528725363 |
---|---|
Doing Business As | LOTUS INTEGRATIVE HEALTH |
Entity Type | Organization |
Authorized Contact | LACY SMITH Nurse Practitioner 620-649-2505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM1300X Clinic/Center, Multi-Specialty | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-11-29 |
Last Update Date | 2023-12-05 |