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 |
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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 |
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Provider Enumeration Date | 2005-07-14 |
Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
Address | 3536 Mendocino Ave |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954033634 |
Phone Number | 7075756049 |
Fax Number | 7075462188 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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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 |
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00G813930 | CA | -- | |
00G813930 | CA | BLUE SHIELD OF CALIFORNIA | |
110180276 | CA | RAILROAD MEDICARE |
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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.