Individual
LAUREN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 SWANSON AVE, STRATFORD, CT 06614-4572
(914) 562-1433
Mailing address
52 SWANSON AVE, STRATFORD, CT 06614-4572
(914) 562-1433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
832931
NY
Other
Enumeration date
01/23/2017
Last updated
12/13/2021
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