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Organization
LOTUS LODGE, LLC
Active
Organization
LOTUS LODGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADY SHILING RN (OWNER)
(303) 507-3623
Entity
Organization
Contact information
Practice address
17939 E JARVIS PL, AURORA, CO 80013-3425
(303) 551-1610
Mailing address
22699 E IDA CIR, AURORA, CO 80015-6669
(303) 507-3623
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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