Lance Tucker
Physical Therapist in Shreveport, LA. Individual provider (NPI-1).
NPI number1982289997
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1982289997
- Entity type
- Individual (NPI-1)
- Name
- Lance Tucker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2021
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 06586R | LA | Yes |
Practice location
4437 Richmond AveShreveport, LA 71106-1419
Phone 318-272-6125
Mailing address
4437 Richmond AveShreveport, LA 71106-1419
Phone 318-272-6125
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All 224 Physical Therapist providers in Shreveport · All 11,081 providers in Shreveport
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