Rajean Cooke, LPN
Individual provider Active NPI Licensed Practical Nurse · Lodi, OH
NPI 1114397262 · NPPES record last updated Oct 1, 2015
Key facts
- NPI
- 1114397262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN101500 (OH)
- Practice address
- 7740 Avon Lake Rd
Lodi, OH 44254-9747 - Phone
- (330) 302-4318
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN101500 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN101500 | OH | Yes |
Addresses
Primary practice location
7740 Avon Lake Rd
Lodi, OH 44254-9747
Mailing address
7740 Avon Lake Rd
Lodi, OH 44254-9747
Phone (330) 302-4318
Other providers in Lodi, OH
- Josh Chlam
- Amelia Cianciola
- Cloverleaf Local Schools
- Lauren Marie Clutter
- Tom Colic
- Elizabeth Ann Cooper
- Lori A Cox
- Samantha Cyphers
- Graciano B Dichoso
- Discount Drug Mart Inc
All providers in Lodi, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.