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Contact Information

ELIZABETH TUCKER, MD
1501 KINGS HWY
PEDIATRIC MEDICINE
SHREVEPORT, LA71103
 Phone: 318-675-8600
 Fax: 318-675-8601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ELIZABETH TUCKER · (Female)

NPI # 1639564107
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2015
Last updated 12/31/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 37403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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