Individual
DR. AMBER COOK LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
205 W 15TH ST, HOPKINSVILLE, KY 42240-2035
(270) 886-2020
Mailing address
205 W 15TH ST, HOPKINSVILLE, KY 42240-2035
(270) 886-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1852DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100173970
—
KY
Enumeration date
07/13/2011
Last updated
04/03/2014
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