Organization
LOTUS INTEGRATED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBEKAH MOORE PMHNP-BC, FNP-C (PMHNP-BC, FNP-C)
(812) 369-4344
Entity
Organization
Contact information
Practice address
654 S WALKER ST, BLOOMINGTON, IN 47403
(812) 369-4344
(812) 369-4314
Mailing address
654 S WALKER ST, BLOOMINGTON, IN 47403
(812) 369-4344
(812) 369-4314
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
11/16/2022
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