Organization
MK LOTUS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MAE PASCO DNP (OWNER)
(323) 904-2408
Entity
Organization
Contact information
Practice address
182 FLORES ROSA LOOP, BARRIGADA, GU 96913-1247
(323) 904-2408
Mailing address
182 FLORES ROSA LOOP, BARRIGADA, GU 96913-1247
(323) 904-2408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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