Individual
LAWRENCE IKEKHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3399
(510) 482-2244
Mailing address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3399
(510) 482-2244
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
631051
CA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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