Cookingham, Lisa M

Cookingham, Lisa M is an individual health care provider with primary practice located at 2324 Sunset Blvd , West Columbia SC 29169-4716. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Cookingham, Lisa M can be contacted via phone (803) 726-3600.

Contact Information

Primary practice address
2324 Sunset Blvd West Columbia SC 29169-4716
Phone: (803) 726-3600
Fax: (803) 929-0504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 70191 Arizona
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 40111 Iowa
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 83564 South Carolina

Profile Details

NPI number 1134383128
LBN Legal business name Cookingham, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Dec 14th, 2020 - about 4 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 1134383128 NPPES
Arizona Other 70192 TRAINING PERMIT

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