Organization
LOTUS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANN LINTNER L.AC., MSTOM (OWNER)
(208) 720-6711
Entity
Organization
Contact information
Practice address
708 BUTTERCUP RD, HAILEY, ID 83333-5073
(208) 720-6711
Mailing address
708 BUTTERCUP RD, HAILEY, ID 83333-5073
(208) 720-6711
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-36
ID
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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