Provider Demographics
NPI:1801355052
Name:COOKMEYER, MORGAN LAURENT (MD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LAURENT
Last Name:COOKMEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:ELIZABETH
Other - Last Name:LAURENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:606 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-3630
Mailing Address - Country:US
Mailing Address - Phone:985-892-3766
Mailing Address - Fax:
Practice Address - Street 1:606 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3630
Practice Address - Country:US
Practice Address - Phone:985-892-3766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA390200000X
LA312764208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program