Individual
LAURA A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
WEST PAVILION 2 FLOOR, 130 SECOND STREET, NEENAH, WI 54956-2753
(920) 725-9373
(920) 720-7392
Mailing address
THE NEUROSCIENCE GROUP OF NE WI, WEST PAVILION 2ND FLOOR, 130 SENCOND STREET, NEENAH, WI 54956-2753
(920) 725-9373
(920) 720-7392
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2582033
WI
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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