Individual
LISA NWAKEGO OGBONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 WILDWOOD CROSSINGS, BIRMINGHAM, AL 35211-4494
(256) 684-4656
Mailing address
2206 WILDWOOD CROSSINGS, BIRMINGHAM, AL 35211-4494
(256) 684-4656
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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