Organization
MK LOTUS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MAE PASCO DNP, MPH, APRN, FNP- (OWNER)
(671) 688-6538
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
(671) 688-6538
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
07/03/2025
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