| Blue Lotus Family Medicine, Llc | |
|
4963 Ne Goodview Cir Ste B Lees Summit MO 64064-2491 | |
| (816) 656-2316 | |
| (816) 281-1985 |
| Full Name | Blue Lotus Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4963 Ne Goodview Cir Ste B, Lees Summit, Missouri |
| Authorized Official Name and Position | Tiffanny Pitts Blythe (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8166562316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lotus Family Medicine, Llc 4963 Ne Goodview Cir Ste B Lees Summit MO 64064-2491 Ph: (816) 656-2316 | Blue Lotus Family Medicine, Llc 4963 Ne Goodview Cir Ste B Lees Summit MO 64064-2491 Ph: (816) 656-2316 |
| NPI Number | 1538711445 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538711445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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