Individual
JAMES LINCOLN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G59945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G599450
—
CA
01
—
EY307Z
MEDICARE PTAN-GHP
CA
01
—
GR0043510
MEDICAID GROUP PROVIDER 3
CA
01
—
WG59945C
PPIN
CA
Enumeration date
08/23/2006
Last updated
03/18/2020
Update your record
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