Individual provider · Type 1 NPI

Robert Louis Hermann, MD

Student in an Organized Health Care Education/Training Program · Lakewood, WA

NPI number 1063776797 Active

Practice location

4901 108th St SW
Lakewood, WA 98499-3724

Fax (253) 984-1079

Mailing address

4901 108th St. SW
Lakewood, WA 98499-3724

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063776797

Robert Louis Hermann, MD's National Provider Identifier is 1063776797, issued on Jun 27, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakewood, WA. The record was last updated on Jul 21, 2022.