Individual
MR. ANDREW LEWIS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1378 RIVERMONT AVE, LYNCHBURG, VA 24504-1007
(434) 610-6803
Mailing address
1378 RIVERMONT AVE, LYNCHBURG, VA 24504-1007
(434) 610-6803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004883
VA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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