Individual
LORI J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2141 E WARNER RD, STE. 101, TEMPE, AZ 85284-3493
(480) 969-8714
(480) 464-0189
Mailing address
2149 E WARNER RD STE 101, TEMPE, AZ 85284-3495
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396540
—
AZ
Enumeration date
09/20/2006
Last updated
06/19/2012
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