Organization
LOTUS MEDICAL MANAGEMENT, LLC
Active
Other names
Lotus Medical Management, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WINTERJANE M PRESTON CPPM (CLINICAL PHYSICIAN PRACTICE MANAGER)
(631) 512-5500
Entity
Organization
Contact information
Practice address
1419 DOLPHIN LN, HOLBROOK, NY 11741-6213
(631) 512-5500
(631) 380-5305
Mailing address
1419 DOLPHIN LN, HOLBROOK, NY 11741-6213
(631) 512-5500
(631) 380-5305
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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