Andrew Lewis Tucker PA-C

NPI 1740672575 - Physician Assistant - 363A00000X

NPI Details
NPI 1740672575
Gender Male
Enumeration Date 03/03/2015
Last Updated 03/03/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1378 RIVERMONT AVE
LYNCHBURG VA, 24504-1007, US
Phone (434) 610-6803
Fax
Business Location
1378 RIVERMONT AVE
LYNCHBURG VA, 24504-1007, US
Phone (434) 610-6803
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110-004883
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According to our database, Mr. Andrew Lewis Tucker PA-C NPI is 1740672575, taxonomy code is 363A00000X and license number is 0110-004883, license state is located at Virginia. Andrew Lewis Tucker PA-C physically located at 1378 Rivermont Ave, Lynchburg VA, 24504-1007. NPI Number Andrew Lewis Tucker PA-C has the Individual type.

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1740672575 NPI number is provided on an as is basis without warranty of any kind. 1740672575 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Lewis Tucker PA-C are for informational purposes only.