| Doctor Name: | MRS. LEANNE MARIE KOOK |
| NPI Number: | 1013243815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704230780 |
| Business Practice Address: | 16151 19 Mile Rd Clinton Twp, MI - 480381158 |
| Business Phone Number: | 5862287433 |
| Business Fax Number: | 5864123924 |
| Mailing Address: | 36800 31 Mile Rd, LENOX |
| State: | MI |
| Postal Code: | 480501418 |
| Phone Number: | 5867274886 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2009 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704230780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |