Organization
LOTUS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAIZ IQBAL MD (OWNER)
(606) 677-1112
Entity
Organization
Contact information
Practice address
104 HARDIN LN STE B, SOMERSET, KY 42503-3800
(606) 677-1112
(606) 679-1341
Mailing address
104 HARDIN LN STE B, SOMERSET, KY 42503-3800
(606) 677-1112
(606) 679-1341
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
07/07/2020
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