Provider Demographics
NPI:1316693500
Name:ROBERTSON, LYNN ADAIR (RN)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:ADAIR
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 W 90TH PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4550
Mailing Address - Country:US
Mailing Address - Phone:303-376-1370
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:8200 W 90TH PL
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4550
Practice Address - Country:US
Practice Address - Phone:303-376-1370
Practice Address - Fax:303-763-5495
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1667900163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice