Individual
FANE LAWRENCE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7695 CARDINAL CT STE 100, SAN DIEGO, CA 92123-3357
(858) 609-7100
(858) 609-7113
Mailing address
7695 CARDINAL CT STE 100, SAN DIEGO, CA 92123-3357
(858) 609-7100
(858) 609-7113
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A45990
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A45990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A459900
—
CA
Enumeration date
12/06/2006
Last updated
11/09/2022
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