| Lotus Integrative Health | |
|
1031 N Kansas Ave Liberal KS 67901-2644 | |
| (620) 649-2505 | |
| (669) 204-0329 |
| Full Name | Lotus Integrative Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1031 N Kansas Ave, Liberal, Kansas |
| Authorized Official Name and Position | Lacy Smith (NURSE PRACTITIONER) |
| Authorized Official Contact | 6206492505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Integrative Health Po Box 178 Satanta KS 67870-0178 Ph: (620) 649-2505 | Lotus Integrative Health 1031 N Kansas Ave Liberal KS 67901-2644 Ph: (620) 649-2505 |
| NPI Number | 1528725363 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 2567848120 |
|---|---|
| Medicare Enrollment ID | O20221005000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528725363 | NPI | - | NPPES |
| Provider Name | Lacy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358378 PECOS PAC ID: 5193143121 Enrollment ID: I20200908002311 |
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