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NPI Code Detail

MEDICARE: LORI ENDICOTT-COOK FNP

MEDICARE: LORI ENDICOTT-COOK FNP
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
1363L00000XNurse Practitioner71006761AIN
2363LF0000XFamily Nurse Practitioner71006761AIN

General Provider Information

NPI Number : 1801347000
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ENDICOTT-COOK FNP
Provider Business Mailing Address
First Line : 112 HOSPITAL LN STE 100
Second Line :
City : DANVILLE
State : IN
Zip : 46122-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6620 PARKDALE PL
Second Line : SUITE D
City : INDIANAPOLIS
State : IN
Zip : 46254-5620
Country : US
Telephone Number : 317-415-7373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2016
Last Update Date : 01/22/2026

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