Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101260186 | VA |
N | 207X00000X | Orthopaedic Surgeon | 9601334 | NC |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 9601334 | NC |
NPI | 1124012117 |
---|---|
Provider Name | Dr. Robyn J. Hakanson |
First Address | Salem, VA 24153-7357 |
Second Address | Salem, VA 24153-7357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1124012117 | (05) | VA |
8911024 | (05) | NC |