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NPI Code Detail

MEDICARE: MR. ROBIN RONALD BAKER LISW

MEDICARE: MR. ROBIN RONALD BAKER LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker09923206CO

General Provider Information

NPI Number : 1053372391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBIN RONALD BAKER LISW
Provider Business Mailing Address
First Line : 7114 W JEFFERSON AVE STE 306
Second Line :
City : LAKEWOOD
State : CO
Zip : 80235-2373
Country : US
Telephone Number : 877-349-3416
Fax Number : 888-965-4615
Provider Business Practice Location Address
First Line : 7114 W JEFFERSON AVE STE 306
Second Line :
City : LAKEWOOD
State : CO
Zip : 80235-2373
Country : US
Telephone Number : 877-349-3416
Fax Number : 888-965-4615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 09/18/2024

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