Individual
MRS. LYNN MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CDE
Contact information
Practice address
9977 WOODS DR, STE 800, SKOKIE, IL 60077-1057
(847) 336-8540
Mailing address
555 W BRIAR PL, 301, CHICAGO, IL 60657-4626
(262) 903-4804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005282
IL
Other
Enumeration date
02/22/2012
Last updated
06/12/2014
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