Provider Demographics
NPI:1649237108
Name:ROBISON, LAUREL A (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:A
Last Name:ROBISON
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Gender:F
Credentials:DPM
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Mailing Address - Street 1:9250 N 3RD ST
Mailing Address - Street 2:SUITE 4010
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2437
Mailing Address - Country:US
Mailing Address - Phone:602-633-3848
Mailing Address - Fax:602-633-3841
Practice Address - Street 1:13065 W MCDOWELL RD
Practice Address - Street 2:SUITE A103
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-6439
Practice Address - Country:US
Practice Address - Phone:623-547-2800
Practice Address - Fax:623-547-3083
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2011-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0607213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ879570Medicaid