Healthcare Provider Details

I. General information

NPI: 1154309649
Provider Name (Legal Business Name): LEAH MARIE ROBISON M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 S FLOYD ST SUITE 100
LOUISVILLE KY
40202-3818
US

IV. Provider business mailing address

571 S FLOYD ST SUITE 100
LOUISVILLE KY
40202-3827
US

V. Phone/Fax

Practice location:
  • Phone: 502-852-5334
  • Fax: 502-852-7886
Mailing address:
  • Phone: 502-852-5334
  • Fax: 502-852-7886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: