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1861595449 NPI number — LUCIUS PINCKNEY COOK III MD

NPI Number: 1861595449
Health Care Provider/Practitioner: LUCIUS PINCKNEY COOK III MD

Information about “1861595449” NPI (LUCIUS PINCKNEY COOK III MD) exists in 1861595449 in HTML format HTML  |  1861595449 in plain Text format TXT  |  1861595449 in PDF (Portable Document Format) PDF  |  1861595449 in an XML format XML  formats.

NPI Number : 1861595449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861595449",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COOK",
    "FirstName": "LUCIUS",
    "MiddleName": "PINCKNEY",
    "NamePrefix": "DR.",
    "NameSuffix": "III",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7777 FOREST LN",
    "SecondLineMailingAddress": "#B-218",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75230-6811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-566-7655",
    "MailingAddressFaxNumber": "972-566-3853",
    "FirstLinePracticeLocationAddress": "7777 FOREST LN",
    "SecondLinePracticeLocationAddress": "#B-218",
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75230-6811",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-566-7655",
    "PracticeLocationAddressFaxNumber": "972-566-3853",
    "EnumerationDate": "09/07/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207N00000X",
        "TaxonomyName": "Dermatology Physician",
        "LicenseNumber": "E3168",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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