Individual
LYNN D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 NORTHWEST PARKWAY SE, SUITE 140, MARIETTA, GA 30067-9319
(770) 951-1793
(770) 612-3380
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(770) 951-1793
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
061056
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
061056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127019900
—
FL
01
—
1366658437
TRICARE
GA
05
—
268886060A
—
GA
01
—
460052
WELLCARE
GA
Enumeration date
05/15/2007
Last updated
06/03/2025
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