Healthcare Provider Details

I. General information

NPI: 1134432867
Provider Name (Legal Business Name): VIOLETTA LOZOVYY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIOLETTA LAMB-MANUKYAN MD

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13052 DALLAS PARKWAY SUITE 230
FRISCO TX
75034
US

IV. Provider business mailing address

13052 DALLAS PARKWAY STE 230
FRISCO TX
75034-3485
US

V. Phone/Fax

Practice location:
  • Phone: 972-668-2229
  • Fax: 877-862-5660
Mailing address:
  • Phone: 972-668-2229
  • Fax: 877-862-5660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberR4267
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: