Most Relevant Information
Provider Data
| NPI Number: | 1003478785 |
| Provider Name: | LISA M TUCKER-WILLIAMS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 3011 |
Most Important Dates
| Enumeration Date: | 07/02/2019 |
| Last Updated: | 04/16/2020 |
Provider Practice Location
7070 MILTON CT
MILTON
FL
325835448
Practice Location Phone/Fax
| Phone: | 8506988706 |
| Fax: |
Provider Mailing Location
7070 MILTON CT
MILTON
FL
325835448
Provider Mailing Phone/Fax
| Phone: | 8506988706 |
| Fax: |