Provider Demographics
NPI:1770396855
Name:ROBINSON, NAKIA LARON
Entity type:Individual
Prefix:MR
First Name:NAKIA
Middle Name:LARON
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5159 W AVENUE J6
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-6893
Mailing Address - Country:US
Mailing Address - Phone:661-505-5792
Mailing Address - Fax:
Practice Address - Street 1:5159 W AVENUE J6
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-6893
Practice Address - Country:US
Practice Address - Phone:661-505-5792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies