1215583513 NPI number — ROBIN LABAR LPN- PN308088

Table of content: ROBIN LABAR LPN- PN308088 (NPI 1215583513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215583513 NPI number — ROBIN LABAR LPN- PN308088

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LABAR
Provider First Name:
ROBIN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPN- PN308088
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215583513
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/13/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3771 SYCAMORE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18045-5511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-438-0696
Provider Business Mailing Address Fax Number:
484-274-6746

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3771 SYCAMORE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18045-5511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-438-0696
Provider Business Practice Location Address Fax Number:
484-274-6746
Provider Enumeration Date:
08/13/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  PN308088 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PN308088 . This is a "LPN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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