Individual
DR. LATEEF OLASUNKANMI LAWAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, MPH
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 634-7500
(918) 619-4960
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 634-7500
(918) 634-7560
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
EL6760
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
376
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
EL6760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201090650A
—
OK
Enumeration date
07/20/2015
Last updated
03/26/2025
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