Lisa M Cookingham
Obstetrician & Gynecologist Gynecologist Reproductive Endocrinologist
2324 Sunset Blvd
West Columbia
, South Carolina 29169-4716
Lisa M Cookingham
Obstetrician & Gynecologist Gynecologist Reproductive Endocrinologist
2324 Sunset Blvd
West Columbia
, South Carolina 29169-4716
(803) 929-0504
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About
Features
Specialties
- Obstetrician & Gynecologist
- Reproductive Endocrinologist
- Gynecologist
Languages spoken
- English
Location
First Address
- Lisa M Cookingham
- 2324 Sunset Blvd
- West Columbia, SC
- Zip : 29169-4716
- Fax : (803) 929-0504
- Phone : (803) 726-3600
Second Address
- Lisa M Cookingham
- 2324 Sunset Blvd
- West Columbia, SC
- Zip : 29169-4716
- Fax : (803) 929-0504
- Phone : (803) 726-3600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 70191 | AZ |
| Y | 207VE0102X | Reproductive Endocrinologist | 83564 | SC |
| N | 207VG0400X | Gynecologist | 40111 | IA |
National Provider Identifier
| NPI | 1134383128 |
|---|---|
| Provider Name | Lisa M Cookingham |
| First Address | West Columbia, SC 29169-4716 |
| Second Address | West Columbia, SC 29169-4716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2008 |
| Last Update Date | 14/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 70192 | TRAINING PERMIT (01) | AZ |
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.