Individual
LOREN D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 COOKS HILL RD, SUITE B, CENTRALIA, WA 98531-9072
(360) 330-8591
Mailing address
1800 COOKS HILL RD, SUITE B, CENTRALIA, WA 98531-9072
(360) 330-8591
(360) 330-8595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00015204
WA
Other
Enumeration date
09/30/2005
Last updated
08/04/2015
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