Individual
DR. BOLARINWA AKANBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(281) 485-1903
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14507R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123781
—
LA
Enumeration date
05/21/2006
Last updated
07/18/2007
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