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1730192220 NPI number — ELIZABETH LANIUS TUCKER RD

NPI Number: 1730192220
Health Care Provider/Practitioner: ELIZABETH LANIUS TUCKER RD

Information about “1730192220” NPI (ELIZABETH LANIUS TUCKER RD) exists in 1730192220 in HTML format HTML  |  1730192220 in plain Text format TXT  |  1730192220 in PDF (Portable Document Format) PDF  |  1730192220 in an XML format XML  formats.

NPI Number : 1730192220 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730192220",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TUCKER",
    "FirstName": "ELIZABETH",
    "MiddleName": "LANIUS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRAFF",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "TUCKER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4212 W CONGRESS ST STE 2300A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAFAYETTE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70506-6778",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "337-237-7801",
    "MailingAddressFaxNumber": "337-235-1865",
    "FirstLinePracticeLocationAddress": "4212 W CONGRESS ST STE 2300A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAFAYETTE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70506-6778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-237-7801",
    "PracticeLocationAddressFaxNumber": "337-235-1865",
    "EnumerationDate": "08/14/2006",
    "LastUpdateDate": "10/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": "1010",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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