Tucker, Lauren K

Tucker, Lauren K is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tucker, Lauren K can be contacted via phone (601) 984-5260.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5260
Fax: (601) 984-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23804 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-2613 Mississippi

Profile Details

NPI number 1003170481
LBN Legal business name Tucker, Lauren K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Feb 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003170481 NPPES
Mississippi MEDICAID 03320306

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