Organization
LOTUS BLOSSOM CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE MARTIN LAC (ACUPUNCTURE PHYSICIAN)
(239) 277-1399
Entity
Organization
Contact information
Practice address
6710 WINKLER RD, SUITE #2, FORT MYERS, FL 33919-7274
(239) 277-1399
Mailing address
6710 WINKLER RD, SUITE #2, FORT MYERS, FL 33919-7274
(239) 277-1399
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2473
FL
Other
Enumeration date
11/22/2011
Last updated
12/14/2011
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