LOTUS INTEGRATIVE HEALTH NPI 1528725363

NPI Information

NPI: 1528725363
Provider Name: LOTUS INTEGRATIVE HEALTH

Doing Business As: LOTUS INTEGRATIVE HEALTH

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1031 N KANSAS AVE
LIBERAL, KS
ZIP 67901
Phone: (620) 649-2505
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LOTUS INTEGRATIVE HEALTH is a primary care clinic center in Liberal, KS. LOTUS INTEGRATIVE HEALTH NPI is 1528725363. The provider is registered as an organization entity type.
The provider Is Doing Business As Lotus Integrative Health.

The provider's business location address is:

1031 N KANSAS AVE
LIBERAL, KS
ZIP 67901-644
Phone: (620) 649-2505
Fax: (669) 204-0329

The provider's authorized official is Lacy Smith .
The authorized official title is Nurse Practitioner and has the following contact phone number (620) 649-2505.

The CLIA number assigned to this NPI record is 17D2265997 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 12/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	363LF0000X	Nurse Practitioner	Family	No
4	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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