Provider Demographics
NPI:1134432867
Name:LOZOVYY, VIOLETTA (MD)
Entity type:Individual
Prefix:
First Name:VIOLETTA
Middle Name:
Last Name:LOZOVYY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIOLETTA
Other - Middle Name:
Other - Last Name:LAMB-MANUKYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13052 DALLAS PARKWAY
Mailing Address - Street 2:STE 230
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3485
Mailing Address - Country:US
Mailing Address - Phone:972-668-2229
Mailing Address - Fax:877-862-5660
Practice Address - Street 1:13052 DALLAS PARKWAY
Practice Address - Street 2:SUITE 230
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-668-2229
Practice Address - Fax:877-862-5660
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4267207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX599008YKS3Medicaid