Individual
DR. JARED LAWRENCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
547 W CHURCH ST, LEXINGTON, TN 38351-1703
(731) 213-1500
Mailing address
547 W CHURCH ST, LEXINGTON, TN 38351-1703
(731) 213-1500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3853
TN
152W00000X
Optometrist
Primary
7347067-9934
UT
152W00000X
Optometrist
ODP-100596
ID
152W00000X
Optometrist
TA2968
MD
Other
Enumeration date
09/03/2008
Last updated
10/25/2024
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