Individual
DR. OLUFUNMILOLA MODUPE OGBONLOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176-8264
(571) 293-2424
(833) 913-2348
Mailing address
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176-8264
(571) 293-2424
(833) 913-2348
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
10421511
VA
207Q00000X
Family Medicine Physician
Primary
0101263837
VA
207Q00000X
Family Medicine Physician
4301107153
MI
Other
Enumeration date
09/29/2014
Last updated
10/31/2025
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