Individual
LANDON JEREMIAH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
686 LESTER ST, POPLAR BLUFF, MO 63901-5025
(573) 686-1200
Mailing address
686 LESTER ST, POPLAR BLUFF, MO 63901-5025
(573) 686-1200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/20/2021
Last updated
08/11/2025
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