NPI | 1811181357 |
---|---|
Doing Business As | LOTUSHOLISITCMED |
Doing Business As | LOTUSHOLISTICMED |
Entity Type | Organization |
Authorized Contact | GARY BROWN President 719-306-0801 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 39722) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2007-08-28 |
Last Update Date | 2022-11-29 |