Individual
LAURIE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
218 E MAIN ST, FLORENCE, MS 39073-8407
(601) 845-6602
(601) 845-6164
Mailing address
PO BOX 530, FLORENCE, MS 39073-0530
(601) 845-6602
(601) 845-6164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R785118
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04523548
—
MS
01
—
202011213A
BLUE CROSS
MS
01
—
P00256861
RAILROAD MEDICARE
MS
Enumeration date
06/16/2006
Last updated
08/03/2011
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