Organization
LORAN D COOK MD PC
Active
Other names
Utah Valley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORAN DAVIS COOK M.D. (PHYSICIAN)
(801) 357-7373
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217
Mailing address
1055 N 300 W STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
921109409934
UT
152W00000X
Optometrist
Primary
931131489934
UT
174400000X
Specialist
0767410010
UT
174400000X
Specialist
465810019
UT
174400000X
Specialist
49624391205
UT
174400000X
Specialist
9018279011205
UT
Other
Enumeration date
09/16/2006
Last updated
06/26/2008
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