Individual
DR. LAURIE P. COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NEMOURS PEDIATRICS JESSUP ST., 1602 JESSUP STREET, WILMINGTON, DE 19802-4210
(302) 576-5050
(302) 576-5065
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C10005054
DE
208D00000X
General Practice Physician
Primary
C10005054
DE
208M00000X
Hospitalist Physician
C10005054
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278T34
—
DE
05
—
001682596
—
PA
05
—
5442001
—
MD
05
—
7495307
—
NJ
Enumeration date
10/13/2006
Last updated
09/12/2011
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