Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A123911 | CA |
N | 111NI0900X | Internist | A123911 | CA |
Y | 207RI0200X | Infectious Disease | A123911 | CA |
NPI | 1093007395 |
---|---|
Provider Name | Makeda Lucretia Robinson |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2011 |
Last Update Date | 20/12/2021 |