Individual
LISA R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(715) 735-5225
(715) 735-5388
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3444-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0608315
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
07/29/2008
Last updated
03/03/2022
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