Provider Demographics
NPI:1215583513
Name:LABAR, ROBIN (LPN- PN308088)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:LABAR
Suffix:
Gender:F
Credentials:LPN- PN308088
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3771 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5511
Mailing Address - Country:US
Mailing Address - Phone:610-438-0696
Mailing Address - Fax:484-274-6746
Practice Address - Street 1:3771 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5511
Practice Address - Country:US
Practice Address - Phone:610-438-0696
Practice Address - Fax:484-274-6746
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN308088164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPN308088OtherLPN