Provider Demographics
NPI:1023037652
Name:ROBINSON, LAWRENCE J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:J
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1523 W AVENUE J
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2819
Mailing Address - Country:US
Mailing Address - Phone:661-945-2221
Mailing Address - Fax:661-945-0831
Practice Address - Street 1:1523 W AVENUE J
Practice Address - Street 2:SUITE # 7
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2819
Practice Address - Country:US
Practice Address - Phone:661-945-2221
Practice Address - Fax:661-945-0831
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC35069207KA0200X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWC35069CMedicare PIN
CAA89006Medicare UPIN