Individual
LISA MARIE TUCKER-MIGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1620 MAYNARD RD, CHEBOYGAN, MI 49721-8979
(231) 420-0660
(231) 420-0660
Mailing address
1620 MAYNARD RD, CHEBOYGAN, MI 49721-8979
(231) 420-0660
(231) 420-0660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07250263
MI
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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