Individual
DR. LISA MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2114 W NOBLE AVE, GUTHRIE, OK 73044-2116
(405) 260-2020
(405) 282-8886
Mailing address
2114 W NOBLE AVE, GUTHRIE, OK 73044-2116
(405) 260-2020
(405) 282-8886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2032
OK
152WV0400X
Vision Therapy Optometrist
2032
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763900A
—
OK
01
—
410034238
RAILROAD MEDICARE
—
Enumeration date
05/31/2005
Last updated
05/11/2010
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