Provider Demographics
NPI:1316776198
Name:ROBINSON, DALISHA DONYALE (NCPT)
Entity type:Individual
Prefix:
First Name:DALISHA
Middle Name:DONYALE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 N HULLEN ST STE 109
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5900
Mailing Address - Country:US
Mailing Address - Phone:504-388-2080
Mailing Address - Fax:
Practice Address - Street 1:2601 N HULLEN ST STE 109
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5900
Practice Address - Country:US
Practice Address - Phone:888-763-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24R-1666246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy