Individual provider · NPI-1

Lawrence Ademiluyi

Social Worker, Clinical · Oklahoma City, OK

NPI number1205259744
StatusActive
Last updated in NPPESFeb 3, 2014

Details

NPI
1205259744
Entity type
Individual (NPI-1)
Name
Lawrence Ademiluyi
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2014
Last updated
Feb 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

4801 N Classen Blvd Ste 159
Oklahoma City, OK 73118-4618

Phone 405-607-6670

Mailing address

10048 Millspaugh Way
Yukon, OK 73099-7976

Is something wrong?

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