Cook, Lane Marshall

Cook, Lane Marshall is an sole proprietor health care provider with primary practice located at 4428 Sutherland Ave , Knoxville TN 37919-5008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cook, Lane Marshall can be contacted via phone (865) 588-6425.

Contact Information

Primary practice address
4428 Sutherland Ave Knoxville TN 37919-5008
Phone: (865) 588-6425
Fax: (865) 584-8066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD014748 Tennessee

Profile Details

NPI number 1174509590
LBN Legal business name Cook, Lane Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2005
Last updated Feb 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174509590 NPPES
Tennessee Other 3713251 MEDICARE INDIVIDUAL PTAN
Tennessee Other 25080 MEDICARE INDIVIDUAL PTAN
Tennessee MEDICAID 3713251 MEDICARE INDIVIDUAL PTAN

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