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Individual

DR. DAVID LAWRENCE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1000 E CLOUD ST, SALINA, KS 67401-6416
(785) 823-6391
(785) 823-7188
Mailing address
1000 E CLOUD ST, SALINA, KS 67401-6416
(785) 823-6391
(785) 823-7188

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1296-2
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5684030001
CIGNA MEDICARE
KS
01
640750
FIRSTGUARD
KS
01
651101
BCBS
KS
01
P00290908
RAILROAD MEDICARE
KS
Enumeration date
06/16/2005
Last updated
07/08/2007
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