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Individual

DR. LISA ANN MINNICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(214) 343-6663
(214) 343-2814
Mailing address
3001 GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(214) 343-6663
(214) 343-2814

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
35-06-5334
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K6891
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104210
OH
Enumeration date
04/12/2006
Last updated
07/12/2007
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