Individual
LORI COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
136 W DEXTER WAY, SAN TAN VALLEY, AZ 85143-4854
(203) 598-6155
Mailing address
136 W DEXTER WAY, SAN TAN VALLEY, AZ 85143-4854
(203) 598-6155
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
248644
AZ
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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