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NPI Code Detail

MEDICARE: LUCYANNE OKWOMI

MEDICARE: LUCYANNE OKWOMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner2007018588MO
2363LG0600XGerontology Nurse Practitioner2007018588MO
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAC007370MD
4363LP0808XPsychiatric/Mental Health Nurse Practitioner78074KS

General Provider Information

NPI Number : 1508309329
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCYANNE OKWOMI
Provider Business Mailing Address
First Line : 13725 METCALF AVE STE 382
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66223-7899
Country : US
Telephone Number : 913-648-8880
Fax Number :
Provider Business Practice Location Address
First Line : 8040 GEORGIA AVE STE 170
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4959
Country : US
Telephone Number : 202-360-4787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2016
Last Update Date : 06/09/2025

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Directions to “ LUCYANNE OKWOMI ” Practice Location

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