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NPI Code Detail

MEDICARE: ROBIN LYNNE VESTAL PA

MEDICARE: ROBIN LYNNE VESTAL PA
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
1363AM0700XMedical Physician Assistant0110001568VA

General Provider Information

NPI Number : 1568440329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN LYNNE VESTAL PA
Provider Business Mailing Address
First Line : 9304 CROSS TIMBERS CT
Second Line :
City : LAUREL
State : MD
Zip : 20723-1756
Country : US
Telephone Number : 301-362-8017
Fax Number :
Provider Business Practice Location Address
First Line : 50 IRVING ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20422-0001
Country : US
Telephone Number : 202-745-8000
Fax Number : 202-745-8184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 07/08/2007

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Directions to “ ROBIN LYNNE VESTAL PA” Practice Location

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