Doctor Name: | MRS. LYNN MARIE TUCKER |
NPI Number: | 1528331519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, LDN, CDE |
License Number: | 164.005282 |
Business Practice Address: | 9977 Woods Dr Ste 800 Skokie, IL - 600771057 |
Business Phone Number: | 8473368540 |
Business Fax Number: | |
Mailing Address: | 555 W Briar Pl, 301 CHICAGO |
State: | IL |
Postal Code: | 606574626 |
Phone Number: | 2629034804 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.005282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |