Provider Demographics
NPI:1942537535
Name:COOK, LIN W (IBCLC,RLC,CLC,AAHCC)
Entity Type:Individual
Prefix:MS
First Name:LIN
Middle Name:W
Last Name:COOK
Suffix:
Gender:F
Credentials:IBCLC,RLC,CLC,AAHCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MAXWELL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4151
Mailing Address - Country:US
Mailing Address - Phone:843-744-4777
Mailing Address - Fax:843-744-4777
Practice Address - Street 1:1220 MAXWELL ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-4151
Practice Address - Country:US
Practice Address - Phone:843-744-4777
Practice Address - Fax:843-744-4777
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN