Individual
SUMMER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
904 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 630-7222
(765) 630-7905
Mailing address
904 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 630-7222
(765) 630-7905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003008A
IN
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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