Lookmon Omisola, PA-C

NPI #1407254857 in Belton, Texas

Provider Information

NPI Number
1407254857
Entity Type
Individual
Name
Lookmon Omisola, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Dec 17, 2014
Last Updated
Dec 17, 2014

Practice Location

Address
13382 MARIGOLD TRL
City
Belton
State
Texas
ZIP Code
76513-6957
Phone
(210) 262-9864

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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