Provider Demographics
NPI:1710291513
Name:ROBINSON, LACY DENAE
Entity Type:Individual
Prefix:DR
First Name:LACY
Middle Name:DENAE
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 1:8515 SPRING CYPRESS RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3354
Mailing Address - Country:US
Mailing Address - Phone:281-444-9800
Mailing Address - Fax:281-444-9801
Practice Address - Street 1:8515 SPRING CYPRESS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3354
Practice Address - Country:US
Practice Address - Phone:281-444-9800
Practice Address - Fax:281-444-9801
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80228231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter