Desert Lotus Clinic | |
1850 E Innovation Park Dr Oro Valley AZ 85755-1963 | |
(520) 222-6997 | |
(833) 464-4301 |
Full Name | Desert Lotus Clinic |
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Speciality | Clinic/Center |
Location | 1850 E Innovation Park Dr, Oro Valley, Arizona |
Authorized Official Name and Position | Nadia Poon-woo (MANAGER) |
Authorized Official Contact | 9144262908 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Lotus Clinic 12544 N Barbadense Dr Marana AZ 85653-8266 Ph: (914) 426-2908 | Desert Lotus Clinic 1850 E Innovation Park Dr Oro Valley AZ 85755-1963 Ph: (520) 222-6997 |
NPI Number | 1205541455 |
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Provider Enumeration Date | 01/20/2023 |
Last Update Date | 02/14/2023 |
Medicare PECOS PAC ID | 2264804186 |
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Medicare Enrollment ID | O20230202000539 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205541455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Nadia Poon-woo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033757422 PECOS PAC ID: 4082026711 Enrollment ID: I20201221003026 |
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