Organization
BLUE LOTUS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANNY PITTS BLYTHE DO (OWNER/PHYSICIAN)
(816) 656-2316
Entity
Organization
Contact information
Practice address
4963 NE GOODVIEW CIR STE B, LEES SUMMIT, MO 64064-2491
(816) 656-2316
(816) 281-1985
Mailing address
4963 NE GOODVIEW CIR STE B, LEES SUMMIT, MO 64064-2491
(816) 656-2316
(816) 281-1985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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