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NPI Code Detail

MEDICARE: DR. LYDIA ALEXANDER-COOK M.D.

MEDICARE: DR. LYDIA ALEXANDER-COOK M.D.
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 Physician35-053698OH

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 : 1174629695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYDIA ALEXANDER-COOK M.D.
Provider Business Mailing Address
First Line : 1001 LAKESIDE AVE E
Second Line : #1200
City : CLEVELAND
State : OH
Zip : 44114-1158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 SEVERANCE CIR
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-1533
Country : US
Telephone Number : 216-524-7377
Fax Number : 216-297-2562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 10/04/2013

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Directions to “ DR. LYDIA ALEXANDER-COOK M.D.” Practice Location

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