MEDICARE: DR. LOOKMAN O LAWAL 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	207RC0000X	Cardiovascular Disease Physician	N6909	TX

General Provider Information

NPI Number	:	1760525638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOOKMAN O LAWAL M.D

Provider Business Mailing Address
First Line	:	3640 JOE BATTLE BLVD STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2628
Country	:	US
Telephone Number	:	915-313-4949
Fax Number	:	915-313-4753

Provider Business Practice Location Address
First Line	:	3640 JOE BATTLE BLVD STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2628
Country	:	US
Telephone Number	:	915-313-4949
Fax Number	:	915-313-4753

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	01/21/2021

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