Provider Demographics
NPI:1730940420
Name:FLOWERS, ROBERT LINDBERGH III (LPN)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LINDBERGH
Last Name:FLOWERS
Suffix:III
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 RIVERS BEND CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2571
Mailing Address - Country:US
Mailing Address - Phone:804-641-8709
Mailing Address - Fax:
Practice Address - Street 1:606 RIVERS BEND CIR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2571
Practice Address - Country:US
Practice Address - Phone:804-641-8709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002094452164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse