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NPI Code Detail

MEDICARE: LOVEISHA TUCKER

MEDICARE:   LOVEISHA  TUCKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246Q00000XPathology Specialist/Technologist

General Provider Information

NPI Number : 1871452979
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOVEISHA TUCKER
Provider Business Mailing Address
First Line : 670 LAKE COVE DR
Second Line :
City : HAMPTON
State : GA
Zip : 30228-1874
Country : US
Telephone Number : 706-438-8133
Fax Number :
Provider Business Practice Location Address
First Line : 670 LAKE COVE DR
Second Line :
City : HAMPTON
State : GA
Zip : 30228-1874
Country : US
Telephone Number : 706-438-8133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ LOVEISHA TUCKER ” Practice Location

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