Individual
MR. LYNN ALLAN ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
220 BRECKENRIDGE LN, LOUISVILLE, KY 40207-3859
(502) 386-1625
Mailing address
622 WATAGA DR, LOUISVILLE, KY 40206-2839
(502) 386-1625
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-0103
KY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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