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Individual

MR. LARRY SCOTT COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
6161 LAKE BRANDT RD, GREENSBORO, NC 27455-8414
(336) 643-5800
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 643-5800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022796
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/28/2025
Last updated
11/11/2025
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