Provider Demographics
NPI:1922736065
Name:ROBINSON, LORA ANN (MD)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:MARIE
Other - Last Name:SCHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1231 SAVANNAH PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4546
Mailing Address - Country:US
Mailing Address - Phone:202-487-1749
Mailing Address - Fax:
Practice Address - Street 1:1231 SAVANNAH PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4546
Practice Address - Country:US
Practice Address - Phone:202-487-1749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst