Organization
CONSOLAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE P COOKE MD (CEO)
(818) 915-4014
Entity
Organization
Contact information
Practice address
1000 N WEST ST, WILMINGTON, DE 19801-1050
(818) 915-4014
Mailing address
1000 N WEST ST, WILMINGTON, DE 19801-1050
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C10005054
DE
Other
Enumeration date
02/18/2009
Last updated
06/19/2009
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