MEDICARE: MS. ROBIN NOEL LEMKE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	38813	NY
2	367500000X	Certified Registered Nurse Anesthetist	38813	FL

General Provider Information

NPI Number	:	1518958982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN NOEL LEMKE CRNA

Provider Business Mailing Address
First Line	:	PO BOX 523
Second Line	:
City	:	POINT LOOKOUT
State	:	NY
Zip	:	11569-0523
Country	:	US
Telephone Number	:	516-319-4559
Fax Number	:

Provider Business Practice Location Address
First Line	:	2680 ISLAND VIEW LN
Second Line	:
City	:	MATLACHA
State	:	FL
Zip	:	33993-9755
Country	:	US
Telephone Number	:	516-319-4559
Fax Number	:

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/08/2007

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