Individual
LISA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6175 WATERFORD LN, SORRENTO, LA 70778-3419
(225) 337-1968
Mailing address
6175 WATERFORD LN, SORRENTO, LA 70778-3419
(225) 337-1968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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