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Individual

KORI LACKEY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
338473
LA
363A00000X
Physician Assistant
LA

Other

Enumeration date
08/14/2023
Last updated
09/06/2023
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