Provider Demographics
NPI:1174696371
Name:ROBINSON, LANCE ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:ERIC
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014C S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3644
Mailing Address - Country:US
Mailing Address - Phone:918-294-3320
Mailing Address - Fax:918-392-0896
Practice Address - Street 1:8014C S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3644
Practice Address - Country:US
Practice Address - Phone:918-294-3320
Practice Address - Fax:918-392-0896
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor