Cook, Lisa Marie

Cook, Lisa Marie is an individual health care provider with primary practice located at 2114 W Noble Ave , Guthrie OK 73044-2116. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Cook, Lisa Marie can be contacted via phone (405) 260-2020.

Contact Information

Primary practice address
2114 W Noble Ave Guthrie OK 73044-2116
Fax: (405) 282-8886
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2032 Oklahoma
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2032 Oklahoma

Profile Details

NPI number 1942203203
LBN Legal business name Cook, Lisa Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 11th, 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 1942203203 NPPES
Oklahoma MEDICAID 100763900A
Oklahoma Other 410034238

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