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NPI Code Detail

MEDICARE: SIERRA LORRAENE COOK

MEDICARE: SIERRA LORRAENE COOK
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1588099444
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA LORRAENE COOK
Provider Business Mailing Address
First Line : 9053 TAILOR MADE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-0610
Country : US
Telephone Number : 702-525-5366
Fax Number :
Provider Business Practice Location Address
First Line : 5138 N JULIANO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4110
Country : US
Telephone Number : 702-940-7896
Fax Number : 702-940-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 02/12/2015

Similar Medicare Providers

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1275915670 — MRS. ANGELICA L LEWIS
Practice Location Address:
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89149-4110
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1194100545 — SHANE WAGERS
Practice Location Address:
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Practice Fax:
1073986444 — JANET FRANCES MASANZ
Practice Location Address:
5138 N JULIANO RD , 5138 N JULIANO RD
LAS VEGAS, NV
89149-4110
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Directions to “ SIERRA LORRAENE COOK ” Practice Location

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