Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R4267 | TX |
NPI | 1134432867 |
---|---|
Provider Name | Violetta Lozovyy |
First Address | Frisco, TX 75034-3485 |
Second Address | Frisco, TX 75034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2010 |
Last Update Date | 17/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
599008YKS3 | (05) | TX |