Lynn Allan Roberson LMT

NPI 1720117542 - Specialist - 174400000X

NPI Details
NPI 1720117542
Gender Male
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
220 BRECKENRIDGE LN
LOUISVILLE KY, 40207-3859, US
Phone (502) 386-1625
Fax
Business Location
622 WATAGA DR
LOUISVILLE KY, 40206-2839, US
Phone (502) 386-1625
Fax
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number KY-0103
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According to our database, Mr. Lynn Allan Roberson LMT NPI is 1720117542, taxonomy code is 174400000X and license number is KY-0103, license state is located at Kentucky. Lynn Allan Roberson LMT physically located at 220 Breckenridge Ln, Louisville KY, 40207-3859. NPI Number Lynn Allan Roberson LMT has the Individual type.

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1720117542 NPI number is provided on an as is basis without warranty of any kind. 1720117542 is maintained by the National Plan & Provider Enumeration System. The contents of Lynn Allan Roberson LMT are for informational purposes only.