Individual provider · Type 1 NPI
Angela M. Cooper, PAC
Medical Physician Assistant · Lansing, IA
NPI number
1033193404
Active
Practice location
50 N Fourth St
Lansing, IA 52151-0540
Fax (563) 538-3099
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 000909 (IA) |
| Physician Assistant | 363A00000X | 292623 (WI) |
| Medical Physician Assistant Primary | 363AM0700X | 00909 (IA) |
Medical Physician Assistant: Definition to come...
About NPI 1033193404
Angela M. Cooper, PAC's National Provider Identifier is 1033193404, issued on Nov 30, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lansing, IA. The record was last updated on Sep 28, 2015.