Provider Demographics
NPI:1356590186
Name:ROCHOW, ROBIN LYNN (PA-C)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LYNN
Last Name:ROCHOW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2445 MARIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1942
Mailing Address - Country:US
Mailing Address - Phone:717-393-1365
Mailing Address - Fax:717-393-7890
Practice Address - Street 1:2445 MARIETTA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-393-1365
Practice Address - Fax:717-393-7890
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA053541363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant