Organization
LOTUS MEDICAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY VIGLIOTTE CPED CFM (MANAGING PARTNER)
(860) 942-9772
Entity
Organization
Contact information
Practice address
426 SALEM TPKE, SUITE A, BOZRAH, CT 06334-1535
(877) 480-1643
(866) 421-0813
Mailing address
361 KENNEDY DR, SUITE 16, PUTNAM, CT 06260-1636
(877) 480-1643
(866) 421-0813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
01/20/2017
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