Individual
DR. LASHASTA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2601 BEMISS RD STE Q, VALDOSTA, GA 31602-1450
(229) 474-4069
(229) 474-4482
Mailing address
2601 BEMISS RD STE Q, VALDOSTA, GA 31602-1450
(229) 474-4069
(229) 474-4482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO009758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
PENDING
GA
Enumeration date
06/06/2019
Last updated
06/06/2019
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