| Lotusholisticmed | |
|
4419 Centennial Blvd # 511 Colorado Springs CO 80907-3739 | |
| (719) 306-0801 | |
| Not Available |
| Full Name | Lotusholisticmed |
|---|---|
| Speciality | Family Medicine |
| Location | 4419 Centennial Blvd # 511, Colorado Springs, Colorado |
| Authorized Official Name and Position | Gary Brown (PRESIDENT) |
| Authorized Official Contact | 7193060801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotusholisticmed 2141 N Academy Cir Colorado Springs CO 80909-1686 Ph: (719) 597-4200 | Lotusholisticmed 4419 Centennial Blvd # 511 Colorado Springs CO 80907-3739 Ph: (719) 306-0801 |
| NPI Number | 1811181357 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811181357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39722 (Colorado) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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