Provider Demographics
NPI:1053075101
Name:TARR, LUCINDA
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:TARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 FARMFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:VT
Mailing Address - Zip Code:05065-6676
Mailing Address - Country:US
Mailing Address - Phone:802-556-1245
Mailing Address - Fax:
Practice Address - Street 1:63 FARMFIELD LN
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:VT
Practice Address - Zip Code:05065-6676
Practice Address - Country:US
Practice Address - Phone:802-556-1245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT11419054374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula