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NPI Code Detail

MEDICARE: DR. LORI ANN COOPER M.D.

MEDICARE: DR. LORI ANN COOPER 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
1207R00000XInternal Medicine PhysicianA107749CA
2207RE0101XEndocrinology, Diabetes & Metabolism Physician60224769WA
3207RE0101XEndocrinology, Diabetes & Metabolism PhysicianMD60224769WA

General Provider Information

NPI Number : 1497078091
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI ANN COOPER M.D.
Provider Business Mailing Address
First Line : 1101 MADISON ST STE 1270
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3554
Country : US
Telephone Number : 206-629-3636
Fax Number : 833-955-3586
Provider Business Practice Location Address
First Line : 1101 MADISON ST STE 1270
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3554
Country : US
Telephone Number : 206-629-3636
Fax Number : 833-955-3586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2010
Last Update Date : 12/18/2024

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Directions to “ DR. LORI ANN COOPER M.D.” Practice Location

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