Healthcare Provider Details

I. General information

NPI: 1669113536
Provider Name (Legal Business Name): STEPHINE LASHON ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/11/2025
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 MCKINLEY AVE
AKRON OH
44306-1908
US

IV. Provider business mailing address

1705 ROCK CREEK DR
GROVE CITY OH
43123-1665
US

V. Phone/Fax

Practice location:
  • Phone: 330-217-7454
  • Fax:
Mailing address:
  • Phone: 330-217-7454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: