Individual
LINDSEY NICOLE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 PARK SPRINGS BLVD STE 130, ARLINGTON, TX 76017-1935
(817) 960-9120
Mailing address
4401 PARK SPRINGS BLVD STE 130, ARLINGTON, TX 76017-1935
(817) 960-9120
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Q0243
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337287201
—
TX
Enumeration date
06/19/2008
Last updated
03/28/2022
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