Tucker-Stickels, Lydia

Tucker-Stickels, Lydia is an sole proprietor health care provider with primary practice located at 230 Murley Dr , Madison WI 53718-3308. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tucker-Stickels, Lydia can be contacted via phone (608) 242-4605.

Contact Information

Primary practice address
230 Murley Dr Madison WI 53718-3308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Wisconsin

Profile Details

NPI number 1487668828
LBN Legal business name Tucker-Stickels, Lydia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2006
Last updated Jul 9th, 2007 - about 18 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 1487668828 NPPES
Wisconsin MEDICAID 38352300

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