Individual
HEATHER LYNNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 347-2400
Mailing address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 347-2400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004012301
MO
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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