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Individual

DR. OLUSEGAN LAWOYIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5310 OLD COURT RD, SUITE 305, RANDALLSTOWN, MD 21133-5243
(410) 655-7100
(410) 655-7919
Mailing address
5310 OLD COURT RD, SUITE 305, RANDALLSTOWN, MD 21133-5243
(410) 655-7100
(410) 655-7919

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0023724
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
FEP/ BLUE CHOICE/ CAPITOL
MD
01
32946019
CAREFIRST BLUE SHIELD
MD
Enumeration date
08/19/2005
Last updated
12/14/2007
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