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Lotus Urologic Group
Specialist in Galax, Virginia
NPI 1548329550

Lotus Urologic Group is a Specialist based in Galax, VA. Lotus Urologic Group practices in Galax, VA. The NPI Number for Lotus Urologic Group is 1548329550 and holds a License No. 0101053692 (Virginia).

The current practice location address for Lotus Urologic Group is 105 Doctors Park, Galax, VA and can be reached out via phone at 276-236-5187 and via fax at 276-236-3015.

Location: 105 Doctors Park, Galax, VA, 24333-2277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548329550
Provider Name
Lotus Urologic Group
Credential
Provider Entity Type
Organization
Address
105 Doctors Park, Galax, VA, 24333-2277
Phone Number
276-236-5187
Fax Number
276-236-3015
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE0083 01 VA MEDICARE RAILROAD
5902112 05 NC
010188491 05 VA
institution
Provider Business Practice Location Address Details
Address
105 Doctors Park
City
Galax
State
Virginia
Zip
24333-2277
Phone Number
276-236-5187
Fax Number
276-236-3015
person
Provider Business Mailing Address Details
Address
105 Doctors Park
City
Galax
State
Virginia
Zip
24333-2277
Phone Number
276-236-5187
Fax Number
276-236-3015
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101053692 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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