Individual
LISA R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
11069 FRISCO LN, JACKSONVILLE, FL 32257-3685
(810) 869-4894
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704221614
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11011749
FL
Other
Enumeration date
05/08/2006
Last updated
06/26/2021
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