| Lotus Comprehensive Health Care, Sc | |
|
2010 Indiana St Racine WI 53405-3651 | |
| (262) 497-1000 | |
| Not Available |
| Full Name | Lotus Comprehensive Health Care, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2010 Indiana St, Racine, Wisconsin |
| Authorized Official Name and Position | Stefanie Ruffolo (PRESIDENT) |
| Authorized Official Contact | 2624971000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Comprehensive Health Care, Sc 2010 Indiana St Racine WI 53405-3651 Ph: () - | Lotus Comprehensive Health Care, Sc 2010 Indiana St Racine WI 53405-3651 Ph: (262) 497-1000 |
| NPI Number | 1225409048 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225409048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 63334 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 63334 (Wisconsin) | Secondary |
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