Lawrence Richard Cooper in Santa Rosa - Internal Medicine

Lawrence Richard Cooper - NPI 1801895602

Lawrence Richard Cooper is a Internal Medicine in Santa Rosa, California. Lawrence Richard Cooper practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lawrence Richard Cooper is 1801895602. The last update date is 2021-10-20.

Lawrence Richard Cooper's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756049 and fax number 7075462188. The mailing address for Lawrence Richard Cooper is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Richard Cooper
Address 3536 Mendocino Ave, Santa Rosa, California
Phone Number 7075756049
Fax Number 7075462188
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1801895602
Provider Enumeration Date 2005-07-14
Last Updated Date 2021-10-20

Provider Mailing Address Detail

Address 3536 Mendocino Ave
City Santa Rosa
State California (CA)
Post Code 954033634
Phone Number 7075756049
Fax Number 7075462188

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G81393
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G813930 CA --
00G813930 CA BLUE SHIELD OF CALIFORNIA
110180276 CA RAILROAD MEDICARE

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FAQs about Lawrence Richard Cooper

What is the unique 10-digit identifier code issued to Lawrence Richard Cooper by the Centers for Medicare & Medicaid Services?

The Lawrence Richard Cooper has been assigned the NPI (National Provider Identifier) 1801895602 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Lawrence Richard Cooper's physical address?

The Lawrence Richard Cooper is physically located at 3536 Mendocino Ave, in the city of Santa Rosa, CA, with the postal code 954033634.

What is the Lawrence Richard Cooper's specialty and taxonomy code?

The Lawrence Richard Cooper's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801895602 to Lawrence Richard Cooper?

The Centers for Medicare & Medicaid Services originally issued the 1801895602 to Lawrence Richard Cooper on 2005-07-14.

When was the information pertaining to Lawrence Richard Cooper most recently updated or revised?

The details related to Lawrence Richard Cooper, including its address, specialty, and other relevant information, were last updated or revised on 2021-10-20.

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