Organization
CENTER FOR CRANIAL/SPINAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER LORD (PRESIDENT)
(772) 223-5945
Entity
Organization
Contact information
Practice address
509 SE RIVERSIDE DR, STE 203, STUART, FL 34994-2579
(772) 288-5862
(772) 288-5874
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253648000
—
FL
Enumeration date
03/22/2006
Last updated
10/03/2019
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