Individual
ANGELA M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
50 N FOURTH ST, LANSING, IA 52151-0540
(563) 538-4874
(563) 538-3099
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000909
IA
363A00000X
Physician Assistant
292623
WI
363AM0700X
Medical Physician Assistant
Primary
00909
IA
Other
Enumeration date
11/30/2005
Last updated
09/28/2015
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