Robinson, Lisa L
Robinson, Lisa L is an sole proprietor health care provider with primary practice located at 409 W Neider Ave Ste C, Coeur D Alene ID 83815-9423. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Robinson, Lisa L can be contacted via phone (208) 765-5665.Contact Information
Primary practice address
409 W Neider Ave Ste C
Coeur D Alene ID 83815-9423
Phone: (208) 765-5665
Fax: (208) 765-1716
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-906 | Idaho |
Profile Details
NPI number | 1417082660 |
---|---|
LBN Legal business name | Robinson, Lisa L |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 21st, 2007 |
Last updated | Jul 23rd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417082660 | NPPES |
Idaho | MEDICAID | 1184854408 |
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