NPI 1366994196

Blue Lotus Lumine Holistic Spa

Organisation Health Maintenance Organization Yelm, WA

Practice location

Address: 404 1st St S Suite H, Yelm, WA 98597-1215
Phone: (360) 955-5987
Fax: (360) 955-5987
Mailing address: 404 1st St S Suite H, Yelm, WA 98597

Authorised official

Name: Claudia M Martius Shepherd
Title: Owner
Phone: (360) 259-7777

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 603563570 (WA)

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Registry record

NPI: 1366994196
Entity type: Organization
NPI issued: 27 Oct 2016
Record last updated: 27 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.