Individual
LAWRETTA NJIDEKA EZUKANMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9908 LAMBERTON TER, FORT WORTH, TX 76244-8514
(817) 980-5659
(817) 562-2544
Mailing address
9908 LAMBERTON TER, FORT WORTH, TX 76244-8514
(817) 980-5659
(817) 562-2544
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
719537
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1146978
TX
Other
Enumeration date
10/22/2009
Last updated
01/08/2024
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