Lawrence Vernon Tucker in Newport Beach - Sports Medicine
Lawrence Vernon Tucker - NPI 1669453262
Lawrence Vernon Tucker is a Sports Medicine in Newport Beach, California. Lawrence Vernon Tucker practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Lawrence Vernon Tucker is 1669453262. The last update date is 2022-05-16.
Lawrence Vernon Tucker's current location address is 4000 Macarthur Blvd, Newport Beach, California. You can contact this provider via phone number 9492574217 and fax number 9496278107. The mailing address for Lawrence Vernon Tucker is 4000 Macarthur Blvd, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Vernon Tucker |
|---|---|
| Address | 4000 Macarthur Blvd, Newport Beach, California |
| Phone Number | 9492574217 |
| Fax Number | 9496278107 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669453262 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2022-05-16 |
Provider Mailing Address Detail
| Address | 4000 Macarthur Blvd |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926602558 |
| Phone Number | 9492574217 |
| Fax Number | 9496278107 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2084S0010X |
| Licence No | A84067 |
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Definition: A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P0883 | TX | STATE MEDICAL LIC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lawrence Vernon Tucker by the Centers for Medicare & Medicaid Services?
The Lawrence Vernon Tucker has been assigned the NPI (National Provider Identifier) 1669453262 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lawrence Vernon Tucker is physically located?
The Lawrence Vernon Tucker is situated at the following address: 4000 Macarthur Blvd, Newport Beach, CA 926602558.
What is the Lawrence Vernon Tucker's area of specialization and corresponding taxonomy classification?
The Lawrence Vernon Tucker's specialty field is Sports Medicine, and it falls under the taxonomy code 2084S0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1669453262 to Lawrence Vernon Tucker?
The Lawrence Vernon Tucker received its 1669453262 assignment from the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date were the details pertaining to Lawrence Vernon Tucker last refreshed?
The information related to the Lawrence Vernon Tucker, including its address, specialty, and other relevant details, was last updated on 2022-05-16.