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General NPI Number Information
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NPI Number | 1356726335
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Entity Type | Individual
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Provider Name | LATEEF OLASUNKANMI LAWAL JR. DPM, MPH
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Gender | Male
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4444 E 41ST ST
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City | TULSA
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State | OK
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Zip | 74135-2527
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Country | US
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Telephone | 918-634-7500
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Fax | 918-619-4960
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Provider Business Mailing Address
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Address Line | PO BOX 268838
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8838
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Country | US
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Telephone | 918-634-7500
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Fax | 918-634-7560
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | EL6760
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | EL6760
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 376
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License Number State | OK
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