Tucker, Lawrence Vernon
Tucker, Lawrence Vernon is an sole proprietor health care provider with primary practice located at 4000 Macarthur Blvd Suite 600 East Tower, Newport Beach CA 92660-2558. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Tucker, Lawrence Vernon can be contacted via phone (949) 257-4217.Contact Information
Primary practice address
4000 Macarthur Blvd Suite 600 East Tower
Newport Beach CA 92660-2558
Phone: (949) 257-4217
Fax: (949) 627-8107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | P0883 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A84067 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | P0883 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A84067 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2084S0010X | A84067 | California |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | A84067 | California |
Profile Details
| NPI number | 1669453262 |
|---|---|
| LBN Legal business name | Tucker, Lawrence Vernon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | May 16th, 2022 - about 2 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 | 1669453262 | NPPES |
| Texas | Other | P0883 | STATE MEDICAL LIC |
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