Individual provider · NPI-1

Lanre Abawonse, APRN

Nurse Practitioner, Family · Burlington, VT

NPI number1750245692
StatusActive
Last updated in NPPESDec 15, 2025

Details

NPI
1750245692
Entity type
Individual (NPI-1)
Name
Lanre Abawonse
Credential
APRN
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 15, 2025
Certification date
Dec 11, 2025
Last updated
Dec 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family101.0138597VTYes

Practice location

98 Starr Farm Rd
Burlington, VT 05408-1323

Phone 802-233-4767

Mailing address

8705 N Macarthur Ter
Oklahoma City, OK 73132-2810

Phone 646-238-0013

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