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Individual

ANTHONY LYNN LUEDICKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
6244 LAKE WORTH BLVD, LAKE WORTH, TX 76135-3705
(817) 238-0385
(817) 238-0382
Mailing address
6244 LAKE WORTH BLVD, LAKE WORTH, TX 76135-3705
(817) 238-0385
(817) 238-0382

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33386
TX

Other

Enumeration date
11/09/2009
Last updated
11/09/2009
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