Individual
OLUFOLAKE LUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
613 HAMMONDS LN, BROOKLYN PARK, MD 21225-3351
(410) 636-3400
Mailing address
13601 MARY BOWIE PKWY, UPPER MARLBORO, MD 20774-9075
(240) 350-7575
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R198113
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04624315
—
NY
05
—
219284500
—
MD
Enumeration date
11/03/2016
Last updated
07/04/2023
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