MEDICARE: JOHN LAWRENCE COOPER

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
1	208800000X	Urology Physician	D92347	MD

General Provider Information

NPI Number	:	1538408570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LAWRENCE COOPER

Provider Business Mailing Address
First Line	:	100 HOSPITAL RD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4017
Country	:	US
Telephone Number	:	410-535-8359
Fax Number	:	410-397-5826

Provider Business Practice Location Address
First Line	:	110 HOSPITAL RD STE 210
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4040
Country	:	US
Telephone Number	:	410-535-8359
Fax Number	:	410-397-5826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2013
Last Update Date	:	03/02/2026

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Directions to “ JOHN LAWRENCE COOPER ” Practice Location

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