Provider Demographics
NPI:1447433644
Name:LAURIE LEIGH ROBBINS, MD PC
Entity type:Organization
Organization Name:LAURIE LEIGH ROBBINS, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LESKOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-427-0285
Mailing Address - Street 1:574 CHURCH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1358
Mailing Address - Country:US
Mailing Address - Phone:770-427-0285
Mailing Address - Fax:678-564-1033
Practice Address - Street 1:574 CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1358
Practice Address - Country:US
Practice Address - Phone:770-427-0285
Practice Address - Fax:678-564-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037661207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG05408Medicare UPIN