Provider Demographics
NPI:1356549810
Name:COOK, LOLA P (MS)
Entity type:Individual
Prefix:MISS
First Name:LOLA
Middle Name:P
Last Name:COOK
Suffix:
Gender:F
Credentials:MS
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Mailing Address - Street 1:5098 SAINT CHARLES PL
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-5940
Mailing Address - Country:US
Mailing Address - Phone:317-345-5652
Mailing Address - Fax:317-415-7734
Practice Address - Street 1:8091 TOWNSHIP LINE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2494
Practice Address - Country:US
Practice Address - Phone:317-415-8100
Practice Address - Fax:317-415-7734
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS