Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 33537 | AL |
NPI | 1174968911 |
---|---|
Provider Name | Lydia Robinson Marcus |
First Address | Birmingham, AL 35233-1900 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2013 |
Last Update Date | 12/12/2018 |