Individual
LISA ANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 110, LEESBURG, VA 20176-3688
(703) 723-7337
(703) 723-6848
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 723-7337
(703) 723-6848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002738
VA
Other
Enumeration date
02/15/2007
Last updated
12/01/2010
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