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NPI Code Detail

MEDICARE: MS. LORI ANN ROBSON BA

MEDICARE: MS. LORI ANN ROBSON BA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245410661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI ANN ROBSON BA
Provider Business Mailing Address
First Line : RR 4 BOX 1910
Second Line :
City : COALGATE
State : OK
Zip : 74538-9675
Country : US
Telephone Number : 580-399-7789
Fax Number :
Provider Business Practice Location Address
First Line : 301 W 4TH ST
Second Line :
City : ADA
State : OK
Zip : 74820-3411
Country : US
Telephone Number : 580-332-8819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 11/14/2007

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Directions to “ MS. LORI ANN ROBSON BA” Practice Location

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