Provider Demographics
NPI:1477945749
Name:ROBINSON, LAKISHA RONCHE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:LAKISHA
Middle Name:RONCHE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:LAKISHA
Other - Middle Name:RONCHE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:490 NORTH GRAPE STREET
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-975-9939
Mailing Address - Fax:760-509-9093
Practice Address - Street 1:490 NORTH GRAPE STREET
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-975-9939
Practice Address - Fax:760-509-9093
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN279531164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse