# LORI TUCKER, DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558528018
- **Authorized official:** LORI TUCKER DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (304) 431-7100

## Contact information

- **Practice address:** 904 HARRISON ST, PRINCETON, WV 24740-3011
- **Practice address phone:** (304) 431-7100
- **Mailing address:** PO BOX 1138, PRINCETON, WV 24740-1138
- **Mailing address phone:** (304) 431-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 1960 | WV | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008