Individual
LAURIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 NASHVILLE HWY, COLUMBIA, TN 38401-2069
(931) 388-8965
Mailing address
1600 NASHVILLE HWY, COLUMBIA, TN 38401-2069
(931) 388-8965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55387
TN
Other
Enumeration date
04/09/2014
Last updated
07/21/2022
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