Lotus Comprehensive Health Care, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

63334 Issued in WI

Legal business name

LOTUS COMPREHENSIVE HEALTH CARE, SC

Practice address

2010 Indiana St
Racine, WI 53405-3651

Phone

(262) 497-1000

NPI assigned

Oct 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stefanie Ruffolo, M.D.

Title

President

Phone

(262) 497-1000

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1225409048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 INDIANA ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 INDIANA ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053651",
            "telephone_number": "262-497-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS COMPREHENSIVE HEALTH CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "RUFFOLO",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-497-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "63334",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "63334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Henry Lockhart III, D.C.
• Dadra Lockridge
• Debbie Jeannine Locurto, R.PH.
• Amanda Loew, PTA
• Mabria Loqman, MD
• Lotus Mental Health Services LLC
• Love N Comfort LLC (Love n Comfort Group Home)
• Angelica Love, LMT
• Christina Louise Lovely, FNP
• Lisel Marie Loven, OTR

• Internal Medicine Physician in Racine, WI
• Providers in Racine, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.