Lee Cook, L.D.O.
Technician/Technologist, Optician in Atlanta, GA. Individual provider (NPI-1).
NPI number1790059160
StatusActive
Last updated in NPPESMar 2, 2012
Details
- NPI
- 1790059160
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lee Cook
- Credential
- L.D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2012
- Last updated
- Mar 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | GA001342 | GA | Yes |
| 156FC0800X | Technician/Technologist, Contact Lens | GA001342 | GA |
Practice location
2025 Peachtree Rd NeSuite 1121
Atlanta, GA 30309-1413
Phone 678-463-0868
Mailing address
2025 Peachtree Rd NeSuite 1121
Atlanta, GA 30309-1413
Phone 678-463-0868
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