Provider Demographics
NPI:1558505016
Name:ROBINSON, LEE ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ADAM
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HOLDEN ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-5757
Mailing Address - Country:US
Mailing Address - Phone:401-274-1122
Mailing Address - Fax:401-453-7697
Practice Address - Street 1:50 HOLDEN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-5757
Practice Address - Country:US
Practice Address - Phone:401-274-1122
Practice Address - Fax:401-453-7646
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2552772084P0800X
RIMD173542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry