# OLUWATOBI GANIU LASISI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790429686
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101284975 | VA | Yes |
| 207Q00000X | Family Medicine Physician | D0101924 | MD | — |

## Other

- **Enumeration date:** 04/26/2022
- **Last updated:** 07/28/2025