Lotus Trauma Center, Pllc

NPI #1437472677 in Des Moines, Iowa

Provider Information

NPI Number: 1437472677
Entity Type: Organization
Organization Name: Lotus Trauma Center, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 2, 2010
Last Updated: Mar 2, 2010

Practice Location

Address: 4211 GRAND AVE
Address 2: SUITE 4
City: Des Moines
State: Iowa
ZIP Code: 50312-2423
Phone: (151) 531-4408

Authorized Official

Name: MS. MOLLIE SUSANN MICHELFELDER, LISW
Title: EXECUTIVE DIRECTOR
Phone: 15153144081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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