Provider Demographics
NPI:1407181118
Name:COOPER, LINDA LESLIE (MD, CM, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LESLIE
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD, CM, FRCSC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2888 SHAGANAPPI TRAIL NW
Mailing Address - Street 2:VISION CLINIC, ALBERTA CHILDREN'S HOSPITAL
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T3H 3R6
Mailing Address - Country:CA
Mailing Address - Phone:403-955-7940
Mailing Address - Fax:403-955-7672
Practice Address - Street 1:2888 SHAGANAPPI TRAIL NW
Practice Address - Street 2:VISION CLINIC ALBERTA CHILDREN'S HOSPITAL
Practice Address - City:CALGARY
Practice Address - State:ALBERTA
Practice Address - Zip Code:T3H 3R6
Practice Address - Country:CA
Practice Address - Phone:403-955-7940
Practice Address - Fax:403-955-7672
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA151418207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology