MEDICARE: STEPHANIE LASHAUN ROBINSON, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1679265631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHANIE LASHAUN ROBINSON, LLC

Provider Business Mailing Address
First Line	:	PO BOX 6535
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5114
Country	:	US
Telephone Number	:	214-281-2182
Fax Number	:

Provider Business Practice Location Address
First Line	:	6951 VIRGINIA PKWY STE 319
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5860
Country	:	US
Telephone Number	:	214-281-2182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE ROBINSON
Credential	:
Telephone Number	:	214-281-2182

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	05/25/2023

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