Provider Demographics
NPI:1215181185
Name:ROBINSON, ELIZABETH SPEES (LAC, CMT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SPEES
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LAC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6096 CHAUTAUQUA RD
Mailing Address - Street 2:
Mailing Address - City:MURPHYSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62966-5909
Mailing Address - Country:US
Mailing Address - Phone:618-687-1717
Mailing Address - Fax:
Practice Address - Street 1:6096 CHAUTAUQUA RD
Practice Address - Street 2:
Practice Address - City:MURPHYSBORO
Practice Address - State:IL
Practice Address - Zip Code:62966-5909
Practice Address - Country:US
Practice Address - Phone:618-687-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000658171100000X
FLAP1467171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist