Individual
RICHARD LAMAR TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 SW BEAUFORD PL, LAKE CITY, FL 32024-5244
(386) 752-3332
(386) 752-3332
Mailing address
520 SW BEAUFORD PL, LAKE CITY, FL 32024-5244
(386) 752-3332
(386) 752-3332
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN 9262859
FL
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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