Healthcare Provider Details

I. General information

NPI: 1720183445
Provider Name (Legal Business Name): LYNDA LOUISE ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N 9TH ST
PHOENIX AZ
85006-2523
US

IV. Provider business mailing address

5000 CHESHIRE PKWY N
PLYMOUTH MN
55446-4103
US

V. Phone/Fax

Practice location:
  • Phone: 602-253-3532
  • Fax: 602-251-0170
Mailing address:
  • Phone: 763-268-4084
  • Fax: 763-268-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD5414
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: