Lotus Internal Medicine, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25615 Issued in AZ

Legal business name

LOTUS INTERNAL MEDICINE, PC

Practice address

18275 N 59TH Ave Ste 142
Glendale, AZ 85308-1253

Phone

(602) 564-0110

Fax

(602) 564-0111

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Roseberry

Title

Office Manager

Phone

(602) 564-0110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1598782302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 142",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0110",
            "fax_number": "602-564-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 142",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0110",
            "fax_number": "602-564-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "ROSEBERRY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-564-0110"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "25615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lorenz
• Jessica Losic, RN
• Annmarie Lostumbo
• Arlene Jasmine Lothian, RN
• Nagma Sharma Lott, MD
• Angelique Achacoso Louangprasert, PA-C
• Jean Frances Loudenslagel, SLP
• Julie Lounsbery, RPH
• Ryan Ray Loveless
• Loving Sisters Caregiving Service LLC

• Geriatric Medicine (Internal Medicine) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.