Healthcare Provider Details

I. General information

NPI: 1700542057
Provider Name (Legal Business Name): LAWRENTA OKOJIE DNP, MSN-ED, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 11/11/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14908 TARYN LEA CT
ACCOKEEK MD
20607-2610
US

IV. Provider business mailing address

14908 TARYN LEA CT
ACCOKEEK MD
20607-2610
US

V. Phone/Fax

Practice location:
  • Phone: 301-526-7534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SI0800X
TaxonomyInformatics Clinical Nurse Specialist
License NumberRN1021765
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: