Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NAT226 | DC |
N | 175L00000X | Homeopath | NAT226 | DC |
NPI | 1548440886 |
---|---|
Provider Name | Dr. Cheryl Lynn Tucker |
First Address | Lebanon, IN 46052-9614 |
Second Address | Lebanon, IN 46052-9614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2007 |
Last Update Date | 04/11/2007 |