Individual
DR. LORAN TODD COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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, 204, PROVO, UT 84604-3344
(801) 357-7373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
49624391205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4391
—
UT
Enumeration date
06/30/2005
Last updated
06/10/2020
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