Individual
DR. LISA JEANNINE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4214
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26078
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001843839
—
PA
Enumeration date
02/21/2006
Last updated
09/19/2014
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