Individual
LANCE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06586R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06586R
PRIVATE PAY
LA
Enumeration date
03/11/2021
Last updated
06/10/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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