Provider Demographics
NPI:1194225789
Name:ROBINSON, LAURIE M (LVN)
Entity Type:Individual
Prefix:MISS
First Name:LAURIE
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2166 FM 1085
Mailing Address - Street 2:
Mailing Address - City:TRENT
Mailing Address - State:TX
Mailing Address - Zip Code:79561-2720
Mailing Address - Country:US
Mailing Address - Phone:325-725-2366
Mailing Address - Fax:
Practice Address - Street 1:4709 S 6TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-2650
Practice Address - Country:US
Practice Address - Phone:325-725-2366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311806164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse