Individual
LEMMY OMO ATAIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(855) 633-0199
Mailing address
13117 LARCHDALE RD APT 8, LAUREL, MD 20708-1754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08171098
MD
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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