Individual
SHANNON B. TUCKWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 843-3750
Mailing address
3209 W 29TH TER, LAWRENCE, KS 66047-3912
(785) 842-4143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-73091-072
KS
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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