Provider Demographics
NPI:1730101098
Name:FRANKLIN, ROBERT DOWLYN JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DOWLYN
Last Name:FRANKLIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:101 ENERGY PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3872
Mailing Address - Country:US
Mailing Address - Phone:337-264-9363
Mailing Address - Fax:337-234-0310
Practice Address - Street 1:101 ENERGY PKWY STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3872
Practice Address - Country:US
Practice Address - Phone:337-264-9363
Practice Address - Fax:337-234-0310
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL07234R208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA010024374OtherRR MEDICARE
LAP23-00022OtherUNITED HEALTHCARE
LA1386251Medicaid
LAD87055Medicare UPIN
LA57331Medicare ID - Type Unspecified