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Individual
MS. LISA RENE COOK
Active
Individual
MS. LISA RENE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19593
CA
363LF0000X
Family Nurse Practitioner
AP3276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346489168
NPI
CA
Enumeration date
02/18/2009
Last updated
11/30/2021
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