MEDICARE: LYMPHEDEMA ASSOCIATES OF TEXAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1710844808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYMPHEDEMA ASSOCIATES OF TEXAS LLC

Provider Business Mailing Address
First Line	:	11551 FOREST CENTRAL DR STE 124
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3978
Country	:	US
Telephone Number	:	214-699-1296
Fax Number	:	214-594-9987

Provider Business Practice Location Address
First Line	:	11551 FOREST CENTRAL DR STE 124
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3978
Country	:	US
Telephone Number	:	214-699-1296
Fax Number	:	214-594-9987

Authorized Official
Title or Position	:	CEO
Name	:	DR. MARINA LAKHMANCHUK
Credential	:	DPT, CLT,CWT
Telephone Number	:	214-789-1691

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	02/09/2026

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Directions to “LYMPHEDEMA ASSOCIATES OF TEXAS LLC ” Practice Location

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