| Ms Lisa Rene Cook, FNP | |
|
12865 Pointe Del Mar Way, #160, Del Mar, CA 92014-3860 | |
| (858) 350-7546 | |
| Not Available |
| Full Name | Ms Lisa Rene Cook |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12865 Pointe Del Mar Way, Del Mar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346489168 | NPI | - | NPPES |
| 1346489168 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP3276 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 19593 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Rene Cook, FNP 12865 Pointe Del Mar Way, #160, Del Mar, CA 92014-3860 Ph: (858) 350-7546 | Ms Lisa Rene Cook, FNP 12865 Pointe Del Mar Way, #160, Del Mar, CA 92014-3860 Ph: (858) 350-7546 |
Mrs. Kristina Jacobson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12865 Pointe Del Mar Way, Suite 160, Del Mar, CA 92014 Phone: 858-350-7546 Fax: 858-350-7501 | |
Steven Benjamin Alden, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12835 Pointe Del Mar Way Ste 1, Del Mar, CA 92014 Phone: 858-259-0599 | |
Miss Gail Elaine Bernstein, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12865 Pointe Del Mar Way Ste 210, Del Mar, CA 92014 Phone: 855-501-1004 Fax: 858-794-7218 |