Lotus Medical Management, LLC

NPI #1679143820 in Holbrook, New York

Provider Information

NPI Number
1679143820
Entity Type
Organization
Organization Name
Lotus Medical Management, LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jun 30, 2021
Last Updated
Jun 30, 2021

Practice Location

Address
1419 DOLPHIN LN
ZIP Code
11741-6213
Phone
(631) 512-5500

Authorized Official

Name
WINTERJANE M PRESTON, CPPM
Title
CLINICAL PHYSICIAN PRACTICE MANAGER
Phone
(631) 512-5500

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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