Individual
LAUREN ALYSSA COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 375-9886
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(510) 625-5356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A169865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A169865
CA MEDICAL LICENSE
CA
Enumeration date
05/03/2017
Last updated
12/17/2021
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