| Organization Name: | LAWRENCE V. TUCKER MD INC |
| NPI Number: | 1699982207 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE VERNON TUCKER (CEO) |
| Mailing Address: | 5000 Legacy Dr Suite 400 Plano |
| State: | TX US |
| Postal Code: | 750243100 |
| Phone Number: | 8889722178 |
| Fax Number: | 8889722178 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | A84067 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |