Organization
LORI TUCKER, DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI TUCKER DO (OWNER/PHYSICIAN)
(304) 431-7100
Entity
Organization
Contact information
Practice address
904 HARRISON ST, PRINCETON, WV 24740-3011
(304) 431-7100
Mailing address
PO BOX 1138, PRINCETON, WV 24740-1138
(304) 431-7100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1960
WV
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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