Individual
LINDA J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8201 NORTHWOODS DR, LINCOLN, NE 68505-3092
(402) 465-5600
(402) 437-0852
Mailing address
3901 PINE LAKE RD, LINCOLN, NE 68516-5497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
516
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079049100
—
NE
Enumeration date
12/29/2005
Last updated
09/07/2007
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