| Organization Name: | LORIE S. ROBINSON |
| NPI Number: | 1093994113 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORIE S ROBINSON (OWNER) |
| Mailing Address: | 28240 Agoura Rd Suite101 Agoura Hills |
| State: | CA US |
| Postal Code: | 913012485 |
| Phone Number: | 8189916337 |
| Fax Number: | 8188791891 |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |