Leticia K. Tucker, M.d., L.l.c.

NPI 1033301205 - Family Medicine - 207Q00000X

NPI Details
NPI 1033301205
Enumeration Date 08/13/2007
Last Updated 10/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LETICIA LETICIA
Position DR.
Phone (270) 298-5164
Fax (270) 298-5285
Practice Location
1215 OLD MAIN ST
HARTFORD KY, 42347-1619, US
Phone (270) 298-5164
Fax (270) 298-5285
Business Location
1215 OLD MAIN ST
HARTFORD KY, 42347-1619, US
Phone (270) 298-5164
Fax (270) 298-5285
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 37109
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According to our database, Leticia K. Tucker, M.d., L.l.c. NPI is 1033301205, taxonomy code is 207Q00000X and license number is 37109, license state is located at Kentucky. Leticia K. Tucker, M.d., L.l.c. physically located at 1215 Old Main St, Hartford KY, 42347-1619. NPI Number 1033115704 has the healthcare provider type.

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1033301205 NPI number is provided on an as is basis without warranty of any kind. 1033301205 is maintained by the National Plan & Provider Enumeration System. The contents of Leticia K. Tucker, M.d., L.l.c. are for informational purposes only.