LISA TUCKER

FORT WAYNE, IN
NPI1992166490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN  28144452A)
Enumeration Date2016-03-10
Last Update Date2016-03-10
Business Address
-- LISA TUCKER RN, CPNP-PC
2510 E DUPONT RD SUITE 238
FORT WAYNE, IN 46825-1600
Phone number: 855-200-7337
Mailing 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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