Organization
LOTUS INTERNAL MEDICINE, PC
Active
Organization
LOTUS INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROSEBERRY (OFFICE MANAGER)
(602) 564-0110
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE STE 142, GLENDALE, AZ 85308-1253
(602) 564-0110
(602) 564-0111
Mailing address
18275 N 59TH AVE STE 142, GLENDALE, AZ 85308-1253
(602) 564-0110
(602) 564-0111
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25615
AZ
Other
Enumeration date
07/16/2006
Last updated
07/23/2012
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