# LOTUS LODGE, LLC

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

## Provider details

- **NPI number:** 1922921840
- **Authorized official:** MR. GENNADY SHILING RN (OWNER)
- **Authorized official phone:** (303) 507-3623

## Contact information

- **Practice address:** 17939 E JARVIS PL, AURORA, CO 80013-3425
- **Practice address phone:** (303) 551-1610
- **Mailing address:** 22699 E IDA CIR, AURORA, CO 80015-6669
- **Mailing address phone:** (303) 507-3623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2026
- **Last updated:** 07/30/2026