Provider Demographics
NPI:1679830996
Name:ROBINSON, LORNA
Entity Type:Individual
Prefix:MS
First Name:LORNA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 NOSTRAND AVE
Mailing Address - Street 2:APT -K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:855 NOSTRAND AVE
Practice Address - Street 2:APT -K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2225
Practice Address - Country:US
Practice Address - Phone:561-577-0251
Practice Address - Fax:877-203-5775
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306675164W00000X
FLPN5166040164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse