Provider Demographics
NPI:1417253360
Name:ROBINSON, DANA (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37314 CHRISTINA AVE
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-4587
Mailing Address - Country:US
Mailing Address - Phone:734-231-4716
Mailing Address - Fax:
Practice Address - Street 1:11019 PERKINS RD STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-3008
Practice Address - Country:US
Practice Address - Phone:225-763-9894
Practice Address - Fax:225-763-9896
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1592111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition