# DEBORAH L. COOK, DPM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205066834
- **Authorized official:** DR. DEBORAH LYNN COOK D.P.M. (PRESIDENT)
- **Authorized official phone:** (440) 669-2001

## Contact information

- **Practice address:** 11201 SHAKER BLVD, SUITE 240, CLEVELAND, OH 44104-3869
- **Practice address phone:** (440) 669-2001
- **Mailing address:** 11201 SHAKER BLVD, SUITE 240, CLEVELAND, OH 44104-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 36003231 | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003231 | OH | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 07/16/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2246555 | — | OH |