| NPI | 1518355049 |
|---|---|
| Other Name | LANEALE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10003890A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 2440) |
| 363AM0700X Physician Assistant, Medical (Licence: IN 10003890A) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-02-09 |