Individual
PHYLLIS EBUN LAWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 7TH AVE, BROOKLYN, NY 11215-7247
(718) 780-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
286619
NY
207V00000X
Obstetrics & Gynecology Physician
D86287
MD
207V00000X
Obstetrics & Gynecology Physician
M7357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022874
INSTITUTIONAL PERMIT
—
Enumeration date
06/07/2007
Last updated
05/15/2023
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