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

NPI #1033301205 in Hartford, Kentucky

Provider Information

NPI Number: 1033301205
Entity Type: Organization
Organization Name: Leticia K. Tucker, M.d., L.l.c.
Primary Specialty: Family Medicine
Enumeration Date: Aug 13, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 1215 OLD MAIN ST
City: Hartford
State: Kentucky
ZIP Code: 42347-1619
Phone: (270) 298-5164

Authorized Official

Name: LETICIA TUCKER
Title: DR.
Phone: (270) 298-5164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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