Doctor Name: | MR. LAURENCE ALBERT ROBINSON |
NPI Number: | 1992036461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RDMS |
License Number: | |
Business Practice Address: | 426 Se 6th St College Place, WA - 993241349 |
Business Phone Number: | 5095295508 |
Business Fax Number: | |
Mailing Address: | 426 Se 6th St, COLLEGE PLACE |
State: | WA |
Postal Code: | 993241349 |
Phone Number: | 5095295508 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2010 |
NPI Last Update Date: | 01/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |