# LOTUS REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033618897
- **Authorized official:** IBRAIZ IQBAL MD (OWNER)
- **Authorized official phone:** (606) 677-1112

## Contact information

- **Practice address:** 104 HARDIN LN STE B, SOMERSET, KY 42503-3800
- **Practice address phone:** (606) 677-1112
- **Practice address fax:** (606) 679-1341
- **Mailing address:** 104 HARDIN LN STE B, SOMERSET, KY 42503-3800
- **Mailing address phone:** (606) 677-1112
- **Mailing address fax:** (606) 679-1341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2018
- **Last updated:** 07/07/2020