Healthcare Provider Details

I. General information

NPI: 1669161170
Provider Name (Legal Business Name): ROBYN LAFAYETTE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 LONG SANDS RD
YORK ME
03909-1158
US

IV. Provider business mailing address

127 LONG SANDS RD
YORK ME
03909-1158
US

V. Phone/Fax

Practice location:
  • Phone: 207-363-8430
  • Fax:
Mailing address:
  • Phone: 207-363-8430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO4372
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: