Provider Demographics
NPI:1023096310
Name:COOK, LYNN E (AUD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:E
Last Name:COOK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3978 TRITON ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7881
Mailing Address - Country:US
Mailing Address - Phone:301-874-0942
Mailing Address - Fax:301-319-8325
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:NNMC, BLDG 7 ROOM 2138
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-4959
Practice Address - Fax:301-319-8325
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00519231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist