Individual
LILLIAN MORENIKE ODUWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1650 N FARWELL AVE, MILWAUKEE, WI 53202-2331
(414) 277-5054
Mailing address
1650 N FARWELL AVE, MILWAUKEE, WI 53202-2331
(414) 277-5054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5431-33
WI
Other
Enumeration date
09/05/2013
Last updated
11/18/2020
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