Individual
MRS. LUEZARAH ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 E COMMERCE ST, ABERDEEN, MS 39730-2709
(662) 813-5151
(662) 813-5152
Mailing address
188 LIVINGSTON DR, STURGIS, MS 39769-4528
(662) 617-3277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P303655
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08575397
—
MS
05
—
09328808
—
MS
Enumeration date
09/20/2006
Last updated
12/14/2017
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