Provider Demographics
NPI:1659550887
Name:COOK, ALLISON LEE (PA)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:LEE
Last Name:COOK
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Gender:F
Credentials:PA
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Mailing Address - Street 1:104 ALEX LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-2952
Mailing Address - Country:US
Mailing Address - Phone:304-734-2040
Mailing Address - Fax:304-734-2047
Practice Address - Street 1:1 WARRIOR WAY
Practice Address - Street 2:
Practice Address - City:BELLE
Practice Address - State:WV
Practice Address - Zip Code:25015-1356
Practice Address - Country:US
Practice Address - Phone:304-949-3591
Practice Address - Fax:304-949-3791
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2020-05-21
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Provider Licenses
StateLicense IDTaxonomies
WV1962363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant