Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012-00992 | NC |
N | 111NI0900X | Internist | 2012-00992 | NC |
N | 207R00000X | Internist | N8390 | TX |
N | 111NI0900X | Internist | N8390 | TX |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101259862 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101259862 | VA |
NPI | 1447419924 |
---|---|
Provider Name | Lauren B Cooper |
First Address | Falls Church, VA 22042-3307 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 02/11/2020 |