Blue Lotus Family Medicine, LLC
NPI #1538711445 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1538711445
- Entity Type
- Organization
- Organization Name
- Blue Lotus Family Medicine, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 10, 2019
- Last Updated
- Jul 10, 2019
Practice Location
- Address
- 4963 NE GOODVIEW CIR STE B
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64064-2491
- Phone
- (816) 656-2316
Authorized Official
- Name
- TIFFANNY PITTS BLYTHE, DO
- Title
- OWNER/PHYSICIAN
- Phone
- (816) 656-2316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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