Healthcare Provider Details

I. General information

NPI: 1992350847
Provider Name (Legal Business Name): ROBBIN S LAWSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2738 N DECATUR RD
DECATUR GA
30033-5910
US

IV. Provider business mailing address

2738 N DECATUR RD
DECATUR GA
30033-5910
US

V. Phone/Fax

Practice location:
  • Phone: 770-696-3869
  • Fax:
Mailing address:
  • Phone: 404-508-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP212717
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN212717
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN212717
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: