Individual
LAUREN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MLD-C, CLT
Contact information
Practice address
31569 CANYON ESTATES DR STE 109, LAKE ELSINORE, CA 92532-0470
(351) 399-0019
(951) 399-0021
Mailing address
35858 OCTOPUS LN, WILDOMAR, CA 92595-8095
(702) 334-7631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
94640
CA
225700000X
Massage Therapist
Primary
94640
CA
Other
Enumeration date
12/21/2023
Last updated
06/02/2025
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