Healthcare Provider Details

I. General information

NPI: 1982922589
Provider Name (Legal Business Name): DANNY LEE ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17000 MEDICAL CENTER DR
BATON ROUGE LA
70816-3246
US

IV. Provider business mailing address

9339 BRIARTRAIL AVE
BATON ROUGE LA
70809-5521
US

V. Phone/Fax

Practice location:
  • Phone: 225-755-4858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number206013MD
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number54476
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: