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NPI Code Detail

MEDICARE: JAJUAN LAMAR ROBINSON

MEDICARE: JAJUAN LAMAR ROBINSON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1720611080
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAJUAN LAMAR ROBINSON
Provider Business Mailing Address
First Line : 5265 E 104TH ST
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44125-2407
Country : US
Telephone Number : 216-297-5444
Fax Number :
Provider Business Practice Location Address
First Line : 5265 E 104TH ST
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44125-2407
Country : US
Telephone Number : 216-297-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2020
Last Update Date : 02/14/2020

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Directions to “ JAJUAN LAMAR ROBINSON ” Practice Location

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