National Provider Identifier
Bodhi Lotus, Inc
Bodhi Lotus, Inc is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 797-5259.
Profile Overview
- NPI
- 1124352141
- Provider Type
- Organization
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 23, 2009
- Last Updated
- September 23, 2009
Practice Location
- 61 Marshall St
- #1
- Rochester, NY 14607-3523
Phone: (585) 797-5259
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1124352141
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Bodhi Lotus, Inc
- Mailing Street Address
- 61 Marshall St
- Mailing Address Line 2
- #1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3523
- Mailing Country
- US
- Mailing Phone
- (585) 797-5259
- Practice Street Address
- 61 Marshall St
- Practice Address Line 2
- #1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-3523
- Practice Country
- US
- Practice Phone
- (585) 797-5259
- Enumeration Date
- September 23, 2009
- Last Updated
- September 23, 2009
- Authorized Official Last Name
- Newkirk
- Authorized Official First Name
- Michelle
- Authorized Official Middle Name
- Jennifer
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 797-5259
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- LPN
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)