Individual
ANDREW LORIMER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 471-4308
Mailing address
7045 IVERSON PL, PASO ROBLES, CA 93446-9382
(805) 471-4308
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
31062
CA
167G00000X
Licensed Psychiatric Technician
Primary
PT31062
CA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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