Healthcare Provider Details

I. General information

NPI: 1528427556
Provider Name (Legal Business Name): LAWRENCE ROBEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2016
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MAX LUTHER DR NW
HUNTSVILLE AL
35811-1724
US

IV. Provider business mailing address

1903 CRAPEMYRTLE GRN SE
HUNTSVILLE AL
35803-1211
US

V. Phone/Fax

Practice location:
  • Phone: 256-532-1922
  • Fax: 256-536-2084
Mailing address:
  • Phone: 256-682-9443
  • Fax: 256-536-2084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9620
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: