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1992166490
LISA TUCKER
FORT WAYNE, IN
NPI
1992166490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN 28144452A)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
-- LISA TUCKER RN, CPNP-PC
2510 E DUPONT RD SUITE 238
FORT WAYNE, IN 46825-1600
Phone number: 855-200-7337
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Mailing Address
-- LISA TUCKER RN, CPNP-PC
2510 E DUPONT RD SUITE 238
FORT WAYNE, IN 46825-1600
Phone number: 855-200-7337
Copy
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