Landrum S. Tucker, Jr., Mdpa

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

40369 Issued in NC

Legal business name

LANDRUM S. TUCKER, JR., MDPA

Practice address

2005 N Lakeshore Dr
Chapel Hill, NC 27514-2025

Phone

(919) 967-3147

Fax

(919) 967-3454

NPI assigned

Jan 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Landrum S Tucker Jr., M.D.

Title

President

Phone

(919) 967-3147

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1255518510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N LAKESHORE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142025",
            "telephone_number": "919-967-3147",
            "fax_number": "919-967-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N LAKESHORE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142025",
            "telephone_number": "919-967-3147",
            "fax_number": "919-967-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRUM S. TUCKER, JR., MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LANDRUM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-967-3147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "40369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Lampman, M.D.
• Jason Adam Lancaster
• Michael S Lancaster, M.D.
• Danielle Land, PHARM.D
• Benjamin Landman, PSY.D.
• Bridget Landry, Q
• Colleen Elizabeth Landy, MGC
• Katherine Carlisle Lane, MD
• Lisa Gabriel Lane, PA
• Nicole Louise Lane, PA-C

• Adult Mental Health Clinic/Center in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.