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NPI Code Detail

MEDICARE: LAUREL A. TUCKER

MEDICARE: LAUREL A. 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
12255R0406XBlind Rehabilitation Specialist/Technologist

General Provider Information

NPI Number : 1174860506
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL A. TUCKER
Provider Business Mailing Address
First Line : 1 FREEDOM WAY
Second Line : VAMC BLIND REHABILITATION CENTER (271 BR)
City : AUGUSTA
State : GA
Zip : 30904-6258
Country : US
Telephone Number : 706-733-0188
Fax Number :
Provider Business Practice Location Address
First Line : 1 FREEDOM WAY
Second Line : VAMC BLIND REHABILITATION CENTER (271 BR)
City : AUGUSTA
State : GA
Zip : 30904-6258
Country : US
Telephone Number : 706-733-0188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2013
Last Update Date : 03/29/2026

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