Organization
LOTUS TRAUMA CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOLLIE SUSANN MICHELFELDER LISW (EXECUTIVE DIRECTOR)
15153144081
Entity
Organization
Contact information
Practice address
4211 GRAND AVE, SUITE 4, DES MOINES, IA 50312-2423
(151) 531-4408
Mailing address
4211 GRAND AVE, SUITE 4, DES MOINES, IA 50312-2423
(151) 531-4408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06761
IA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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