Provider Demographics
NPI:1770561144
Name:LANSDEN, ROBERT L (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:LANSDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:L
Other - Last Name:LANSDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2270 VALLEYDALE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2101
Mailing Address - Country:US
Mailing Address - Phone:205-682-6056
Mailing Address - Fax:205-682-6057
Practice Address - Street 1:2270 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2086
Practice Address - Country:US
Practice Address - Phone:205-682-6056
Practice Address - Fax:205-682-6057
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13479207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529703240Medicaid
AL009912625Medicaid
AL000035557Medicaid
AL000035557Medicaid
AL009912625Medicaid