Individual
DR. ADEGBOYEGA H LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
43754-020
WI
208VP0000X
Pain Medicine Physician
43754
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
43754
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050084705
RAIL ROAD MEDICARE
—
05
—
34133400
—
WI
Enumeration date
11/30/2005
Last updated
01/11/2024
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