ANN E. LUTICH, MD PA
Ambulatory Health at Walnut Hill Ln, Dallas, TX

License number
Texas H2547
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: ANN E LUTICH M.D.
Title: PHYSICIAN
Phone: (214) 373-7800
Address
Address
8160 Walnut Hill Ln STE 306, Dallas, TX 75231
National Provider ID: 1912163239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANN E. LUTICH, M.D., PA

Dallas, TX

Status:
Inactive
Doing business as:
Ann E. Lutich, M.D., PA
Registration:
May 19, 2008
Addresses:
9505 Hl Vw Dr, Dallas, TX 75231 (Mailing)
8160 Walnut Hl Ln, Dallas, TX 75231
511 N Brookside Dr, Dallas, TX 75214
State ID:
0800980476
Business type:
Professional Association
Director , Member , President:
Ann E. Lutich Director , Member , President, inactive
Agent:
Ann E Lutich,9505 Hl Vw Dr, Dallas, TX 75231 (Physical)
TIN:
32037100024

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