Cooper, Lynn D

Cooper, Lynn D is an individual health care provider with primary practice located at 2275 Northwest Parkway Se Suite 140, Marietta GA 30067-9319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Cooper, Lynn D can be contacted via phone (770) 951-1793.

Contact Information

Primary practice address
2275 Northwest Parkway Se Suite 140 Marietta GA 30067-9319
Phone: (770) 951-1793
Fax: (770) 612-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 061056 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 061056 Georgia

Profile Details

NPI number 1366658437
LBN Legal business name Cooper, Lynn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated May 29th, 2015 - about 11 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 1366658437 NPPES
Georgia MEDICAID 268886060A
Georgia Other 460052
Georgia Other 1366658437

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