Individual
MARY ELIZABETH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S 48TH ST., SUITE 800, LINCOLN, NE 68506-1200
(402) 483-8600
(402) 483-8689
Mailing address
1500 S 48TH ST, SUITE 800, LINCOLN, NE 68506-1200
(402) 483-8600
(402) 483-8689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1903
NE
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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