| Desert Lotus Clinic Llc | |
|
1850 E Innovation Park Dr Oro Valley AZ 85755-1963 | |
| (520) 222-6997 | |
| (833) 464-4301 |
| Full Name | Desert Lotus Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1850 E Innovation Park Dr, Oro Valley, Arizona |
| Authorized Official Name and Position | Nadia Poon-woo (OWNER) |
| Authorized Official Contact | 5202226997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Lotus Clinic Llc 1850 E Innovation Park Dr Oro Valley AZ 85755-1963 Ph: (520) 222-6997 | Desert Lotus Clinic Llc 1850 E Innovation Park Dr Oro Valley AZ 85755-1963 Ph: (520) 222-6997 |
| NPI Number | 1205541455 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 06/05/2025 |
| Medicare PECOS PAC ID | 2264804186 |
|---|---|
| Medicare Enrollment ID | O20230202000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205541455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nadia Poon-woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033757422 PECOS PAC ID: 4082026711 Enrollment ID: I20201221003026 |
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