MEDICARE: MR. LYNDON F ROBINSON CRC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	7153	NC

General Provider Information

NPI Number	:	1356513279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LYNDON F ROBINSON CRC, LPC

Provider Business Mailing Address
First Line	:	2734 BISHOPTON PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-9612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2734 BISHOPTON PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-9612
Country	:	US
Telephone Number	:	704-399-2127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	12/11/2013

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