Loran D Cook MD PC

NPI #1750487609 in Provo, Utah

Provider Information

NPI Number: 1750487609
Entity Type: Organization
Organization Name: Loran D Cook MD PC
Primary Specialty: Optometrist
Enumeration Date: Sep 16, 2006
Last Updated: Jun 26, 2008

Practice Location

Address: 1055 N 300 W STE 204
City: Provo
State: Utah
ZIP Code: 84604-3374
Phone: (801) 357-7373

Authorized Official

Name: DR. LORAN DAVIS COOK, M.D.
Title: PHYSICIAN
Phone: (801) 357-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Specialist	174400000X

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