Lisa Cooney, Md-Pc in Wasilla - Specialist
Lisa Cooney, Md-Pc - NPI 1912932716
Lisa Cooney, Md-Pc is a Specialist in Wasilla, Alaska. Lisa Cooney, Md-Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisa Cooney, Md-Pc is 1912932716. The last update date is 2020-08-22.
Lisa Cooney, Md-Pc's current location address is 1751 E. Gardner Way, Wasilla, Alaska. You can contact this provider via phone number 9073761633 and fax number 9073767864. The mailing address for Lisa Cooney, Md-Pc is 1751 E. Gardner Way, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisa Cooney, Md-Pc |
|---|---|
| Address | 1751 E. Gardner Way, Wasilla, Alaska |
| Phone Number | 9073761633 |
| Fax Number | 9073767864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Cooney Marie Lisa |
| Credentials | M.D. |
| Telephone Number | 9073761633 |
NPI Number Detail
| NPI Number | 1912932716 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1751 E. Gardner Way |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 99654 |
| Phone Number | 9073761633 |
| Fax Number | 9073767864 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 3925 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD3925 | AK | -- | |
| P0157517 | RRMEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Cooney, Md-Pc?
The Lisa Cooney, Md-Pc has been issued the NPI (National Provider Identifier) 1912932716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Lisa Cooney, Md-Pc is geographically located?
The Lisa Cooney, Md-Pc is physically situated at the following location: 1751 E. Gardner Way, Wasilla, AK, 99654.
What is Lisa Cooney, Md-Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Cooney, Md-Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Lisa Cooney, Md-Pc receive its 1912932716 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Cooney, Md-Pc was assigned its 1912932716 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the information pertaining to Lisa Cooney, Md-Pc most recently updated or revised?
The details related to Lisa Cooney, Md-Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.