NPI 1679143820

Lotus Medical Management, LLC

Organisation Preferred Provider Organization Holbrook, NY

Practice location

Address: 1419 Dolphin Ln, Holbrook, NY 11741-6213
Phone: (631) 512-5500
Fax: (631) 380-5305

Authorised official

Name: Winterjane M Preston
Title: Clinical Physician Practice Manager
Phone: (631) 512-5500

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1679143820
Entity type: Organization
NPI issued: 30 Jun 2021
Record last updated: 30 Jun 2021

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.