Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35-036491 | OH |
NPI | 1023044971 |
---|---|
Provider Name | Lynn J. Robbins |
First Address | Miamisburg, OH 45342-3598 |
Second Address | Kettering, OH 45429-1264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 18/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221820 | ANTHEM (01) | OH |
0433954 | (05) | OH |
06-00355 | UNITED HEALTHCARE (01) | OH |
C01912 | (02) | OH |