Provider Demographics
NPI:1831540681
Name:ROBINETTE, LORIE (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 E SIENA HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1755
Mailing Address - Country:US
Mailing Address - Phone:517-264-7737
Mailing Address - Fax:517-264-7815
Practice Address - Street 1:1247 E SIENA HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1755
Practice Address - Country:US
Practice Address - Phone:517-264-7737
Practice Address - Fax:517-264-7815
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010002792255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer