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1780785055
KELLY LAUTZENHEISER
DALLAS, TX
NPI
1780785055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 547829)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
-- KELLY LAUTZENHEISER CPNP
1935 MOTOR ST
DALLAS, TX 75235-7701
Phone number: 214-456-5413
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Mailing Address
-- KELLY LAUTZENHEISER CPNP
651 OAKBEND DR
COPPELL, TX 75019-2478
Phone number: 214-456-5413
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