Organization Name: | LOTUS INTEGRAL INC |
NPI Number: | 1518250257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAEZE OKOYE (PRESIDENT) |
Mailing Address: | 17527 Nassau Commons Blvd Suite B Lewes |
State: | DE US |
Postal Code: | 199586283 |
Phone Number: | 3026440500 |
Fax Number: | 3028272244 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | CI-0006825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |