Provider Demographics
NPI:1295434728
Name:ROBINSON, LORETTA
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:
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 1:5933 OLD LUMBERTON RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-5683
Mailing Address - Country:US
Mailing Address - Phone:910-918-2612
Mailing Address - Fax:
Practice Address - Street 1:5933 OLD LUMBERTON RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-5683
Practice Address - Country:US
Practice Address - Phone:910-918-2612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health