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NPI Code Detail

MEDICARE: DR. LARRY EUGENE ROBINSON JR. D.O.

MEDICARE: DR. LARRY EUGENE ROBINSON JR. D.O.
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
1207Q00000XFamily Medicine Physician34.008627OH

General Provider Information

NPI Number : 1538144357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY EUGENE ROBINSON JR. D.O.
Provider Business Mailing Address
First Line : 1912 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 SYCAMORE LINE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4029
Country : US
Telephone Number : 419-625-5269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 06/07/2021

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