Lance Tucker, | |
4437 Richmond Ave, Shreveport, LA 71106-1419 | |
(318) 272-6125 | |
Not Available |
Full Name | Lance Tucker |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 4437 Richmond Ave, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982289997 | NPI | - | NPPES |
06586R | Other | LA | PRIVATE PAY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 06586R (Louisiana) | Primary |
Entity Name | Core Physical Therapy And Performance Llc |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1609243716 PECOS PAC ID: 4688974843 Enrollment ID: O20151120000374 |
Mailing Address | Practice Location Address |
---|---|
Lance Tucker, 4437 Richmond Ave, Shreveport, LA 71106-1419 Ph: (318) 272-6125 | Lance Tucker, 4437 Richmond Ave, Shreveport, LA 71106-1419 Ph: (318) 272-6125 |
Adam Saad Mossallati, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1111 Line Ave, Shreveport, LA 71101 Phone: 318-716-4770 Fax: 318-716-4791 | |
Dr. Mrunalini B Shah, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1130 Louisiana Ave, Shreveport, LA 71101 Phone: 318-678-4472 | |
James Curtis Lyons, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1715 Marycrest Ave Ste 200, Shreveport, LA 71101 Phone: 318-751-9100 Fax: 318-751-9101 | |
Dr. V Singh, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dharam Gurwara, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6821 Pines Rd Ste 400, Shreveport, LA 71129 Phone: 318-686-5255 Fax: 318-686-5239 | |
John Eric Bicknell Sr., MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7925 Youree Drive, Suite 280a, Shreveport, LA 71105 Phone: 318-798-6833 Fax: 318-798-6835 | |
Mrs. Katharine J Balbuena, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1111 Line Ave, Shreveport, LA 71101 Phone: 800-324-4777 |