Organization
LOREN D COOPER, MD, INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN D COOPER MD (PRESIDENT)
(360) 330-8591
Entity
Organization
Contact information
Practice address
1800 COOKS HILL RD, CENTRALIA, WA 98531-9072
(360) 330-8592
(360) 330-8617
Mailing address
1800 COOKS HILL RD, CENTRALIA, WA 98531-9072
(360) 330-8592
(360) 330-8617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15204
WA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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