Individual
LEWIS A. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5495 MAPLE LANE, FAYETTEVILLE, WV 25840-1413
(304) 574-1888
(304) 574-1891
Mailing address
5495 MAPLE LN, FAYETTEVILLE, WV 25840-6872
(304) 574-1888
(304) 574-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9864
WV
Other
Enumeration date
08/08/2006
Last updated
10/14/2013
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