Individual
VICKI LYNN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1600 LIBERTY ST, COVINGTON, IN 47932-1715
(765) 793-4818
Mailing address
1371 W COVERED BRIDGE RD, ATTICA, IN 47918-8093
(765) 793-0252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27061558A
IN
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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