Individual
TAMMY LYNN LOUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 NW PEACOCK BLVD STE 10, PORT SAINT LUCIE, FL 34986-2213
(772) 361-6767
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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