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Organization
LOTUS DIAGNOSTICS LLC
Active
Organization
LOTUS DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SULLIVAN (BILLING MANAGER)
(214) 269-3875
Entity
Organization
Contact information
Practice address
8 RED HILL LN, S BARRINGTON, IL 60010-6188
(214) 269-3875
(903) 328-6568
Mailing address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
NULL
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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