Tucker, Lance
Tucker, Lance is an sole proprietor health care provider with primary practice located at 4437 Richmond Ave , Shreveport LA 71106-1419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tucker, Lance can be contacted via phone (318) 272-6125.Contact Information
Primary practice address
4437 Richmond Ave
Shreveport LA 71106-1419
Phone: (318) 272-6125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 06586R | Louisiana |
Profile Details
| NPI number | 1982289997 |
|---|---|
| LBN Legal business name | Tucker, Lance |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2021 |
| Last updated | Mar 11th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982289997 | NPPES |
| Louisiana | Other | 06586R | PRIVATE PAY |
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