Individual
STACY LYNN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N JUNIATA AVE LOT 20, JUNIATA, NE 68955-2223
(402) 705-9510
Mailing address
110 N JUNIATA AVE LOT 5, JUNIATA, NE 68955-2207
(402) 705-7414
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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