KELLY LAUTZENHEISER

DALLAS, TX
NPI1780785055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  547829)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- KELLY LAUTZENHEISER CPNP
1935 MOTOR ST
DALLAS, TX 75235-7701
Phone number: 214-456-5413
Mailing Address
-- KELLY LAUTZENHEISER CPNP
651 OAKBEND DR
COPPELL, TX 75019-2478
Phone number: 214-456-5413