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Individual

LAUREN WILLIAMS TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
304B CHARLES T WETHINGTON BLDG, LEXINGTON, KY 40536-0200
(859) 323-9918
(859) 323-1197
Mailing address
304B CHARLES T WETHINGTON BLDG, LEXINGTON, KY 40536-0200
(859) 323-9918
(859) 323-1197

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2659
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2011
Last updated
05/07/2013
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