Provider Demographics
NPI:1528690153
Name:LOTUS INFUSIONS PLLC
Entity type:Organization
Organization Name:LOTUS INFUSIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAILER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:480-757-3500
Mailing Address - Street 1:6976 S MAGIC CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4183
Mailing Address - Country:US
Mailing Address - Phone:701-471-1551
Mailing Address - Fax:
Practice Address - Street 1:4001 E BASELINE RD STE 104
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2736
Practice Address - Country:US
Practice Address - Phone:480-757-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty