Individual
ADIJAT OMOTOKE LAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
1134 E 99TH ST, BROOKLYN, NY 11236-4424
(171) 853-1785
Mailing address
1184 FRISBIE AVE, MAPLEWOOD, MN 55109-4326
(651) 206-3038
(651) 793-4299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
252015-1
NY
164W00000X
Licensed Practical Nurse
L 050728-6
MN
Other
Enumeration date
01/09/2010
Last updated
01/09/2010
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