LISA F TUCKER

URBANA, IL
NPI1124302435
Former NameLISA F DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: IL  277002328)
Enumeration Date2011-10-05
Last Update Date2024-10-15
Business Address
LISA F TUCKER APRN, CNP
611 W PARK ST NEONATOLOGY
URBANA, IL 61801-2500
Phone number: 217-383-3266
Mailing Address
LISA F TUCKER APRN, CNP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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