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Individual

LISA MARII COOKINGHAM

Active
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Individual

LISA MARII COOKINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
70191
AZ
207VE0102X
Reproductive Endocrinology Physician
Primary
2024-00952
NC
207VE0102X
Reproductive Endocrinology Physician
83564
SC
207VG0400X
Gynecology Physician
MD-40111
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70192
TRAINING PERMIT
AZ
Enumeration date
07/18/2008
Last updated
02/03/2026
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