Healthcare Provider Details

I. General information

NPI: 1548183288
Provider Name (Legal Business Name): LAUREN CHRISTINE COOK FNP-BC, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15480 LAGUNA HILLS DR
FORT MYERS FL
33908-9645
US

IV. Provider business mailing address

15480 LAGUNA HILLS DR
FORT MYERS FL
33908-9645
US

V. Phone/Fax

Practice location:
  • Phone: 540-632-3322
  • Fax:
Mailing address:
  • Phone: 540-632-3322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9605344
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: