Organization
HEATHER M TLUCZEK DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M TLUCZEK DO (PRES/OWNER)
(812) 969-3548
Entity
Organization
Contact information
Practice address
4005 DUPONT CIR, LOUISVILLE, KY 40207-4801
(502) 897-7401
(502) 897-5652
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5707
(614) 430-5744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
03074
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
03074
KY
Other
Enumeration date
12/19/2011
Last updated
12/20/2011
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