Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME73306 | FL |
Y | 207RX0202X | Medical Oncology | ME73306 | FL |
NPI | 1437140068 |
---|---|
Provider Name | Dr. Robin D. Lifton |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Venice, FL 34285-3668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255380500 | (05) | FL |
G44614 | (02) | FL |