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Individual

LARA TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 OCOEE APOPKA RD, APOPKA, FL 32703-9210
(407) 889-1000
Mailing address
2100 OCOEE APOPKA RD, APOPKA, FL 32703-9210
(407) 652-7026

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME155059
FL
208M00000X
Hospitalist Physician
Primary
ME155059
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114018700
FL
01
UY198
MEDICARE HF
FL
Enumeration date
03/25/2018
Last updated
05/11/2026
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