Most Relevant Information
Provider Data
| NPI Number: | 1003391384 |
| Provider Name: | ANDREW LORIMER COOK |
| Entity Type: | Individual |
| Taxonomy Code: | 167G00000X |
| Specialty: | Licensed Psychiatric Technician |
| License Number: | PT31062 |
Most Important Dates
| Enumeration Date: | 10/02/2018 |
| Last Updated: | 10/02/2018 |
Provider Practice Location
2180 JOHNSON AVE
SAN LUIS OBISPO
CA
934014558
Practice Location Phone/Fax
| Phone: | 8054714308 |
| Fax: |
Provider Mailing Location
7045 IVERSON PL
PASO ROBLES
CA
934469382
Provider Mailing Phone/Fax
| Phone: | 8054714308 |
| Fax: |