Individual
EWING COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 AMBASSADOR CAFFERY, PROVINCE BLDG. 14-A, LAFAYETTE, LA 70508
(337) 234-7779
(337) 235-7246
Mailing address
5000 AMBASSADOR CAFFERY, PROVINCE BLDG. 14-A, LAFAYETTE, LA 70508
(337) 234-7779
(337) 235-7246
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
011080
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191868
—
LA
Enumeration date
12/01/2006
Last updated
03/26/2009
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