Provider Demographics
NPI:1366010860
Name:ROBINSON, LAUNITA E (CERT HAIR LOSS SPC)
Entity Type:Individual
Prefix:
First Name:LAUNITA
Middle Name:E
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CERT HAIR LOSS SPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 39TH ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-8833
Mailing Address - Country:US
Mailing Address - Phone:510-586-9298
Mailing Address - Fax:
Practice Address - Street 1:2608 39TH ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-8833
Practice Address - Country:US
Practice Address - Phone:510-586-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-12
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty
No1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty