Basic Information
| Provider Information | |||||||||
| NPI: | 1578761433 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COOK | ||||||||
| FirstName: | LATRICA | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177418003 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7501 OSLER DR STE 205 | ||||||||
| Address2: | |||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212047743 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104275510 | ||||||||
| FaxNumber: | 4104275511 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2007 | ||||||||
| LastUpdateDate: | 03/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301090582 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MT192363 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | D73058 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.