Cook, Debra Lynn
Cook, Debra Lynn is an sole proprietor health care provider with primary practice located at 2131 W 3Rd St , Los Angeles CA 90057-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cook, Debra Lynn can be contacted via phone (310) 484-7600.Contact Information
Primary practice address
2131 W 3Rd St
Los Angeles CA 90057-1901
Phone: (310) 484-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA15098 | California |
Profile Details
| NPI number | 1154521094 |
|---|---|
| LBN Legal business name | Cook, Debra Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154521094 | NPPES |
| California | Other | PA15098 | STATE LICENSE |
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