Individual
MRS. MELANIE LUCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12890 HILLCREST RD, SUITE 201, DALLAS, TX 75230-1504
(972) 386-6310
(972) 404-9150
Mailing address
9413 TRAIL HILL DR, DALLAS, TX 75238-1437
(972) 386-6310
(972) 404-9150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1044960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571156586
TAX ID
TX
Enumeration date
03/28/2007
Last updated
07/08/2007
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