Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN15575 | FL |
NPI | 1093816928 |
---|---|
Provider Name | Dr. Robyn Britt Lesser |
First Address | Tampa, FL 33615-3102 |
Second Address | Tampa, FL 33615-3102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 22/05/2008 |