MR. Lawrence Olalere Fawole, LPN
NPI #1003139023 in Staten Island, New York
Provider Information
- NPI Number
- 1003139023
- Entity Type
- Individual
- Name
- MR. Lawrence Olalere Fawole, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 4, 2010
- Last Updated
- Mar 4, 2010
Practice Location
- Address
- 47 ARLINGTON AVE BSMT
- City
- Staten Island
- State
- New York
- ZIP Code
- 10303-1601
- Phone
- (718) 442-1463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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