Individual
LAUREN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
2706 N EAGLE ST, WICHITA, KS 67226-4570
(316) 252-6343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162184
KS
164W00000X
Licensed Practical Nurse
53569
KS
Other
Enumeration date
07/11/2023
Last updated
02/06/2024
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