Individual
LOTTIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 LYDIA ST, LAKE WALES, FL 33898-7463
(863) 241-4378
Mailing address
2300 LYDIA ST, LAKE WALES, FL 33898-7463
(863) 241-4378
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
37600000X
FL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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