Provider Demographics
NPI:1467556613
Name:ROBINSON, LORIE SUE (DPM)
Entity Type:Individual
Prefix:DR
First Name:LORIE
Middle Name:SUE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5370 HOLLISTER
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117
Mailing Address - Country:US
Mailing Address - Phone:805-338-9755
Mailing Address - Fax:805-569-6055
Practice Address - Street 1:5370 HOLLISTER
Practice Address - Street 2:SUITE 7
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117
Practice Address - Country:US
Practice Address - Phone:805-338-9755
Practice Address - Fax:805-569-6055
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-09
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2425213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABK980Medicare PIN
CA5795770001Medicare NSC
CAWE2425AMedicare PIN
CAT11318Medicare UPIN