| NPI | 1710094438 |
|---|---|
| Former Name | LAUREN ANN COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011065) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN4973) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-12-29 |