Individual
OMOLARA LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT218172
PA
2084N0400X
Neurology Physician
Primary
83923-20
WI
2084N0400X
Neurology Physician
MT218172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281928
—
WI
Enumeration date
06/11/2019
Last updated
12/18/2024
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