Individual
LUCY OMOBOYE OGUNSUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8824 CUNNINGHAM DR, BERWYN HEIGHTS, MD 20740-2338
(240) 965-0800
Mailing address
4820 BRIERCREST CT, BOWIE, MD 20720-4840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R210355
MD
Other
Enumeration date
01/21/2020
Last updated
03/25/2022
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