Cook, Laurel B

Cook, Laurel B is an individual health care provider with primary practice located at 603 Smithview Dr , Maryville TN 37803-6100. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Cook, Laurel B can be contacted via phone (865) 981-4595.

Contact Information

Primary practice address
603 Smithview Dr Maryville TN 37803-6100
Fax: (865) 981-4544
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 641 Tennessee

Profile Details

NPI number 1073500823
LBN Legal business name Cook, Laurel B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 8th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073500823 NPPES
Tennessee MEDICAID 4127412

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