Lauren K Tucker, MD
Pediatrics in Jackson, MS. Individual provider (NPI-1).
NPI number1003170481
StatusActive
Last updated in NPPESFeb 15, 2021
Details
- NPI
- 1003170481
- Entity type
- Individual (NPI-1)
- Name
- Lauren K Tucker
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2012
- Certification date
- Feb 15, 2021
- Last updated
- Feb 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 23804 | MS | Yes |
| 208000000X | Pediatrics | T-2613 | MS |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-5260 · Fax 601-984-2652
Mailing address
504 Clinton Center Dr Ste 4300Clinton, MS 39056-5610
Phone 601-496-9794 · Fax 601-815-0434
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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