Individual
LANZANDRA DESHA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 RAMONA DR SW, MILLEDGEVILLE, GA 31061-4456
(478) 251-0166
Mailing address
108 RAMONA DR SW, MILLEDGEVILLE, GA 31061-4456
(478) 251-0166
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
GA
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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