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1740672575
ANDREW LEWIS TUCKER
LYNCHBURG, VA
NPI
1740672575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-004883)
Enumeration Date
2015-03-03
Last Update Date
2015-03-03
Business Address
Mr. ANDREW LEWIS TUCKER PA-C
1378 RIVERMONT AVE
LYNCHBURG, VA 24504-1007
Phone number: 434-610-6803
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Mailing Address
Mr. ANDREW LEWIS TUCKER PA-C
1378 RIVERMONT AVE
LYNCHBURG, VA 24504-1007
Phone number: 434-610-6803
Copy
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