Individual
DR. ANN E LUTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-3838
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H2547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106282002
—
TX
Enumeration date
04/18/2006
Last updated
08/31/2011
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