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General NPI Number Information
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NPI Number | 1053054015
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Entity Type | Individual
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Provider Name | MEGAN RANA LUTCHMAN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1917 W GRAY ST
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City | HOUSTON
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State | TX
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Zip | 77019-4801
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Country | US
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Telephone | 832-260-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 201 LONG CANYON CT
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City | RICHARDSON
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State | TX
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Zip | 75080-2669
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Country | US
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Telephone | 469-237-5745
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V8675
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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