Provider Demographics
NPI:1992036461
Name:ROBINSON, LAURENCE ALBERT (RDMS)
Entity Type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:ALBERT
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 SE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1349
Mailing Address - Country:US
Mailing Address - Phone:509-529-5508
Mailing Address - Fax:
Practice Address - Street 1:426 SE 6TH ST
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1349
Practice Address - Country:US
Practice Address - Phone:509-529-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-23
Last Update Date:2010-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography