Cook, Lisa R

Cook, Lisa R is an individual health care provider with primary practice located at 2820 Roosevelt Rd , Marinette WI 54143-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Lisa R can be contacted via phone (715) 735-5225.

Contact Information

Primary practice address
2820 Roosevelt Rd Marinette WI 54143-3834
Fax: (715) 735-5388
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3444-033 Wisconsin

Profile Details

NPI number 1740446855
LBN Legal business name Cook, Lisa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Mar 3rd, 2022 - about 2 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 1740446855 NPPES
Other F0608315 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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