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NPI Code Detail

MEDICARE: DR. VIOLET LOREN COHEN D.O.

MEDICARE: DR. VIOLET LOREN COHEN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician3128OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063493187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIOLET LOREN COHEN D.O.
Provider Business Mailing Address
First Line : 3000 N GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1818
Country : US
Telephone Number : 405-632-6688
Fax Number :
Provider Business Practice Location Address
First Line : 11220 N ROCKWELL AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-2725
Country : US
Telephone Number : 405-632-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 10/03/2024

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