| Lotus Center Inc | |
|
4376 S 700 E Ste 200 Salt Lake City UT 84107-3077 | |
| (385) 272-4292 | |
| (866) 855-3582 |
| Full Name | Lotus Center Inc |
|---|---|
| Speciality | Case Management |
| Location | 4376 S 700 E Ste 200, Salt Lake City, Utah |
| Authorized Official Name and Position | Cynthia Phyllis Wasek (OWNER) |
| Authorized Official Contact | 3852724292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Center Inc 4376 S 700 E Ste 200 Salt Lake City UT 84107-3077 Ph: (385) 272-4292 | Lotus Center Inc 4376 S 700 E Ste 200 Salt Lake City UT 84107-3077 Ph: (385) 272-4292 |
| NPI Number | 1184415622 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184415622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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