Organization
LOTUS COMPREHENSIVE HEALTH CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANIE RUFFOLO M.D. (PRESIDENT)
(262) 497-1000
Entity
Organization
Contact information
Practice address
2010 INDIANA ST, RACINE, WI 53405-3651
(262) 497-1000
Mailing address
2010 INDIANA ST, RACINE, WI 53405-3651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63334
WI
208000000X
Pediatrics Physician
63334
WI
Other
Enumeration date
10/20/2015
Last updated
11/24/2015
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