Individual
LOLA OGUNNIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1841 MONTREAL RD STE 111, TUCKER, GA 30084-5712
(404) 725-8455
Mailing address
3050 FIVE FORKS TRICKUM RD SW STE D454, LILBURN, GA 30047-1810
(470) 871-9105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN307055
GA
Other
Enumeration date
03/15/2023
Last updated
02/28/2024
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