Provider Demographics
NPI:1326035411
Name:ROBINSON, LINDWOOD ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDWOOD
Middle Name:ALLEN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 41213
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27629-1213
Mailing Address - Country:US
Mailing Address - Phone:919-878-3655
Mailing Address - Fax:919-878-3647
Practice Address - Street 1:3509 CAPITAL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3325
Practice Address - Country:US
Practice Address - Phone:919-878-3655
Practice Address - Fax:919-878-3647
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101126207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H49718Medicare UPIN