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Individual

MRS. LORI ROTH TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1043 WASHINGTON RD, THOMSON, GA 30824-7318
(706) 595-1461
(706) 597-9824
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP170787
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN170787
GA

Other

Enumeration date
08/09/2018
Last updated
04/15/2026
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