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NPI Code Detail

MEDICARE: SAMANTHA COOK LPN

MEDICARE: SAMANTHA COOK LPN
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
1164W00000XLicensed Practical NurseL0064637OK

General Provider Information

NPI Number : 1598622664
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA COOK LPN
Provider Business Mailing Address
First Line : 11627 E 36TH ST
Second Line :
City : TULSA
State : OK
Zip : 74146-2806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6333 E SKELLY DR
Second Line :
City : TULSA
State : OK
Zip : 74135-6101
Country : US
Telephone Number : 918-978-5800
Fax Number : 918-978-5800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ SAMANTHA COOK LPN” Practice Location

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