MEDICARE: LAKESIA C ROBBINS LPN

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	164W00000X	Licensed Practical Nurse	PN133979MIV	OH

General Provider Information

NPI Number	:	1447766423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKESIA C ROBBINS LPN

Provider Business Mailing Address
First Line	:	750 NORTHLAND BLVD APT D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3176
Country	:	US
Telephone Number	:	513-335-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 NORTHLAND BLVD APT D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3176
Country	:	US
Telephone Number	:	513-335-1260
Fax Number	:	513-335-1260

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

Provider Enumeration Date	:	12/28/2017
Last Update Date	:	12/28/2017

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