Individual
DR. LAJIDE RICHARD LAWOYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1433
(912) 871-2261
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095701
MI
207R00000X
Internal Medicine Physician
57012762
OH
208M00000X
Hospitalist Physician
4301095701
MI
208M00000X
Hospitalist Physician
Primary
83612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N27530075
INDIVIDUAL MEDICARE PTAN
MI
Enumeration date
06/24/2009
Last updated
02/16/2026
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