Doctor Name: | DR. LAWRENCE WILLIAM COOKE |
NPI Number: | 1578690475 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G71266 |
Business Practice Address: | 24331 El Toro Rd Ste 330 Laguna Woods, CA - 926372754 |
Business Phone Number: | 9492151511 |
Business Fax Number: | 9492151512 |
Mailing Address: | 23521 Paseo De Valencia, Suite B2 LAGUNA HILLS |
State: | CA |
Postal Code: | 926533107 |
Phone Number: | 9492151511 |
Fax Number: | 9492151512 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 05/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G71266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |