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Organization

LAWRENCE V. TUCKER MD INC

Active
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Organization

LAWRENCE V. TUCKER MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE VERNON TUCKER M.D. (CEO)
(972) 757-2178
Entity
Organization

Contact information

Practice address
5000 LEGACY DR, SUITE 400, PLANO, TX 75024-3100
(888) 972-2178
(888) 972-2178
Mailing address
5000 LEGACY DR, SUITE 400, PLANO, TX 75024-3100
(888) 972-2178
(888) 972-2178

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A84067
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
P0883
TX
2084P0800X
Psychiatry Physician
A84067
CA
2084P0800X
Psychiatry Physician
Primary
P0883
TX

Other

Enumeration date
05/16/2007
Last updated
12/17/2012
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