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Individual

DR. LOLIYA FAUSTINA IDONIBOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O, MPH

Contact information

Practice address
1510 COLUMBUS AVE STE 230, WASHINGTON COURT HOUSE, OH 43160-1987
(740) 333-2243
Mailing address
1501 LEHIGH ST, OFFICE OF MEDICAL EDUCATION, ALLENTOWN, PA 18103-3880

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT013312
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184846
OH
Enumeration date
07/24/2009
Last updated
05/26/2021
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