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Contact Information

LAWRENCE V TUCKER, MD
4000 MACARTHUR BLVD
SUITE 600 EAST TOWER
NEWPORT BEACH, CA92660-2558
 Phone: 949-257-4217
 Fax: 949-627-8107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Sports Medicine

2084S0010X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LAWRENCE V TUCKER · (Male)

NPI # 1669453262
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 09/30/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A84067
  • TX License # P0883
  • TX Other P0883 STATE MEDICAL LIC
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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