| Dr Lillian Lockett Robertson, MD | |
|
1717 S J St, Ms 01-38, Tacoma, WA 98405-4933 | |
| (979) 292-5012 | |
| (713) 668-0469 |
| Full Name | Dr Lillian Lockett Robertson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1717 S J St, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720137268 | NPI | - | NPPES |
| 034120801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | J1463 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD 60435457 (Washington) | Primary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Obhg Washington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lillian Lockett Robertson, MD 3534 Elmridge St, Houston, TX 77025-4112 Ph: (979) 292-5012 | Dr Lillian Lockett Robertson, MD 1717 S J St, Ms 01-38, Tacoma, WA 98405-4933 Ph: (979) 292-5012 |
Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740 | |
Wesley Boyd Davis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1717 S J St # Wa, Tacoma, WA 98405 Phone: 253-625-1104 | |
Kalli Plummer, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 253-274-7991 | |
Dr. Angela Lorraine Gray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 206-246-0468 | |
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747 | |
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000 | |
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860 |