Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 56476 | TN |
Y | 207PP0204X | Pediatric Emergency Physician | 83004 | SC |
NPI | 1629456918 |
---|---|
Provider Name | Lauren Robinson |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2015 |
Last Update Date | 02/12/2019 |