Provider Demographics
NPI:1891015442
Name:WILKERSON, ROBYN LASHAE (M D)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:LASHAE
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7709 HIGHWAY 107
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-4661
Mailing Address - Country:US
Mailing Address - Phone:501-552-7262
Mailing Address - Fax:501-907-8000
Practice Address - Street 1:7709 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-4661
Practice Address - Country:US
Practice Address - Phone:501-552-7262
Practice Address - Fax:501-552-5317
Is Sole Proprietor?:No
Enumeration Date:2010-06-06
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE7435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine