Individual
BASIRAT LAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 W DOUGLAS AVE APT 201, VISALIA, CA 93291
(718) 825-5263
Mailing address
4900 W DOUGLAS AVE APT 201, VISALIA, CA 93291-7809
(718) 825-5263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
650920
NY
163W00000X
Registered Nurse
Primary
95126205
CA
Other
Enumeration date
04/27/2012
Last updated
07/31/2018
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