Individual
RAYMOND LEBRON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-7302
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49287
TN
207L00000X
Anesthesiology Physician
MD.09211R
LA
207L00000X
Anesthesiology Physician
ME70972
FL
Other
Enumeration date
03/21/2006
Last updated
02/04/2021
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