Individual
LEE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1490
Mailing address
2205 E 11TH ST, ODESSA, TX 79761-3103
(432) 638-3857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
566307
TX
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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