Organization
LOTUS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI THOMPSON (OWNER)
(918) 721-4989
Entity
Organization
Contact information
Practice address
219 EAST CHOCTAW, SALLISAW, OK 74955
Mailing address
PO BOX 488, SALLISAW, OK 74955
(918) 721-4989
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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