Individual
GBEMISOLA LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 958-0100
Mailing address
PO BOX 1776, VACAVILLE, CA 95696-1776
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51158
AL
208600000X
Surgery Physician
A189114
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
07/17/2025
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