| Lotus Trauma Center, Pllc | |
|
4211 Grand Ave Suite 4 Des Moines IA 50312-2423 | |
| (151) 531-4408 | |
| Not Available |
| Full Name | Lotus Trauma Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4211 Grand Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Mollie Susann Michelfelder (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 15153144081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Trauma Center, Pllc 4211 Grand Ave Suite 4 Des Moines IA 50312-2423 Ph: (151) 531-4408 | Lotus Trauma Center, Pllc 4211 Grand Ave Suite 4 Des Moines IA 50312-2423 Ph: (151) 531-4408 |
| NPI Number | 1437472677 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437472677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06761 (Iowa) | Primary |
News Archive
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