Individual
LISA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
(619) 575-1215
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
(619) 575-1215
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95363620
CA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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