Sagan Lasha Cook, LPN

Individual provider Active NPI Licensed Practical Nurse · Lafayette, TN

NPI 1609389402 · NPPES record last updated Nov 15, 2017

Key facts

NPI
1609389402
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000084646 (TN)
Practice address
601 Highway 52 Byp E
Lafayette, TN 37083-1009
Phone
(615) 666-2142
Fax
(615) 666-6135
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN0000084646TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000084646 TN Yes

Addresses

Primary practice location

601 Highway 52 Byp E
Lafayette, TN 37083-1009

Mailing address

601 Highway 52 Byp E
Lafayette, TN 37083-1009
Phone (615) 666-2142

Other providers in Lafayette, TN

All providers in Lafayette, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.