Provider Demographics
NPI:1114581444
Name:COOK, ERIN LEWCHUK (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LEWCHUK
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARY PEDIATRIC CENTER
Mailing Address - Street 2:1001 CRESCENT GREEN DR
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-467-3211
Mailing Address - Fax:919-467-5315
Practice Address - Street 1:CARY PEDIATRIC CENTER
Practice Address - Street 2:1001 CRESCENT GREEN DR
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:919-467-3211
Practice Address - Fax:919-467-5315
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-0172208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics