Dr. Laura Beth Cooper
Surgeon Plastic and Reconstructive Surgery
555 E Broadway Ave Ste 218
Jackson
, Wyoming 83001-8640
Dr. Laura Beth Cooper
Surgeon Plastic and Reconstructive Surgery
555 E Broadway Ave Ste 218
Jackson
, Wyoming 83001-8640
(307) 699-3115
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Laura Beth Cooper
- Po Box 1148
- Jackson, WY
- Zip : 83001-1148
- Phone : (307) 699-3115
Second Address
- Dr. Laura Beth Cooper
- 555 E Broadway Ave Ste 218
- Jackson, WY
- Zip : 83001-8640
- Phone : (307) 699-3115
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 10610A | WY |
| N | 208600000X | Surgeon | 10610A | WY |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | M-13366 | ID |
National Provider Identifier
| NPI | 1316167679 |
|---|---|
| Provider Name | Dr. Laura Beth Cooper |
| First Address | Jackson, WY 83001-1148 |
| Second Address | Jackson, WY 83001-8640 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2007 |
| Last Update Date | 13/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.