Provider Demographics
NPI:1932147535
Name:ROBISON, LURA KAY (BC, APRN)
Entity Type:Individual
Prefix:
First Name:LURA
Middle Name:KAY
Last Name:ROBISON
Suffix:
Gender:F
Credentials:BC, APRN
Other - Prefix:
Other - First Name:LURA
Other - Middle Name:KAY
Other - Last Name:ROBISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BC, APRN
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59624-0846
Mailing Address - Country:US
Mailing Address - Phone:406-925-3794
Mailing Address - Fax:406-422-5804
Practice Address - Street 1:638 WILDER AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-2533
Practice Address - Country:US
Practice Address - Phone:406-925-3794
Practice Address - Fax:406-422-5804
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100536363LF0000X
MT2005454174163WW0000X
MT8413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000373071OtherBCBS
MT4308050Medicaid
MT85450MTMedicare UPIN
MT011002225Medicare PIN