Organization
LOTUS INTEGRATIVE HEALTH
Active
Other names
Lotus Integrative Health
Organization subpart
No
Provider details
NPI number
Authorized official
LACY SMITH PMHNP-BC, FNP-BC (APRN)
(620) 649-2505
Entity
Organization
Contact information
Practice address
500 N KANSAS AVE, LIBERAL, KS 67901-3304
(620) 649-2505
(669) 204-0329
Mailing address
8101 COLLEGE BLVD STE 130, OVERLAND PARK, KS 66210-2793
(620) 649-2505
(669) 204-0329
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201236440A
—
OK
05
—
201291660A
—
KS
05
—
201304510A
—
OK
05
—
201359500A
—
KS
05
—
30004700590001
—
KS
05
—
30004782370001
—
KS
Enumeration date
11/29/2021
Last updated
07/20/2026
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