Individual
DR. MELODY ANN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3310 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1974
(863) 802-6600
Mailing address
1050 WINIFRED WAY, LAKELAND, FL 33809-2365
(863) 802-6610
(863) 802-6639
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY 136
STATE LICENSE NUMBER
FL
Enumeration date
01/30/2007
Last updated
07/08/2007
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