MEDICARE: DR. LAWRENCE OKEY ONYEJEKWE JR. M.D.

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
1	207Q00000X	Family Medicine Physician	228380	NY

General Provider Information

NPI Number	:	1518941400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE OKEY ONYEJEKWE JR. M.D.

Provider Business Mailing Address
First Line	:	3101 MIDDLEFIELD RD
Second Line	:	APARTMENT 18
City	:	PALO ALTO
State	:	CA
Zip	:	94306-3065
Country	:	US
Telephone Number	:	917-681-6297
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 MIRANDA AVE
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94304-1207
Country	:	US
Telephone Number	:	650-493-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2005
Last Update Date	:	07/08/2007

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