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Individual
DR. LAWRENCE VERNON TUCKER
Active
Individual
DR. LAWRENCE VERNON TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A84067
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
P0883
TX
2084P0800X
Psychiatry Physician
Primary
A84067
CA
2084P0800X
Psychiatry Physician
P0883
TX
2084P0804X
Child & Adolescent Psychiatry Physician
A84067
CA
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
A84067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0883
STATE MEDICAL LIC
TX
Enumeration date
11/10/2005
Last updated
09/30/2025
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