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Individual

MS. ELIZABETH COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-5895
(434) 200-7529
Mailing address
PO BOX 11646, LYNCHBURG, VA 24506-1646
(434) 200-5895
(434) 200-7529

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101223783
VA
208M00000X
Hospitalist Physician
Primary
0101223783
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010002141
VA
01
P00025560
MEDICARE RAILROAD CARRIER
VA
Enumeration date
11/30/2005
Last updated
02/17/2023
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