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Individual
LAZARUS OKAMMOR
Active
Individual
LAZARUS OKAMMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704269233
MI
363LG0600X
Gerontology Nurse Practitioner
4704269233
MI
Other
Enumeration date
06/09/2017
Last updated
11/04/2022
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