Individual
LARRY NORMAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 629-8990
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5817
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15106
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
15106
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64151061
—
KY
Enumeration date
12/23/2005
Last updated
04/09/2020
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