MEDICARE: ROBEINA ROBINSON

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1245107051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBEINA ROBINSON

Provider Business Mailing Address
First Line	:	4041 E WALTON ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-3662
Country	:	US
Telephone Number	:	337-532-5705
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 E WALTON ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-3662
Country	:	US
Telephone Number	:	337-532-5705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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