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NPI Code Detail

MEDICARE: LOTUS WASHINGTON INC

MEDICARE: LOTUS WASHINGTON INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00024401WA

General Provider Information

NPI Number : 1083894398
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOTUS WASHINGTON INC
Provider Business Mailing Address
First Line : PO BOX 5521
Second Line :
City : BELLEVUE
State : WA
Zip : 98006-0021
Country : US
Telephone Number : 425-990-0043
Fax Number :
Provider Business Practice Location Address
First Line : 10301 NE 10TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-4213
Country : US
Telephone Number : 425-990-0043
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. MUNETSUGU YOKOBE
Credential : MASSAGE THERAPIST
Telephone Number : 425-990-0043
Provider Enumeration Date : 11/05/2007
Last Update Date : 11/05/2007

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Directions to “LOTUS WASHINGTON INC ” Practice Location

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