Organization
LOTUS LODGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE SHILING (OWNER)
(303) 507-3623
Entity
Organization
Contact information
Practice address
4130 TEJON ST STE C, DENVER, CO 80211-1813
(303) 551-1610
Mailing address
22699 E IDA CIR, AURORA, CO 80015-6669
(303) 551-1610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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