Provider Demographics
NPI:1255469797
Name:LAWRIE, ROBYN EVELYN (NP)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:EVELYN
Last Name:LAWRIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:EVELYN
Other - Last Name:MARQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5326 L ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3934
Mailing Address - Country:US
Mailing Address - Phone:916-806-2366
Mailing Address - Fax:
Practice Address - Street 1:3750 AUBURN BLVD STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2134
Practice Address - Country:US
Practice Address - Phone:916-487-8230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1303363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA588293Medicare UPIN