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General NPI Number Information
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NPI Number | 1508309329
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Entity Type | Individual
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Provider Name | LUCYANNE OKWOMI
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 8040 GEORGIA AVE STE 170
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City | SILVER SPRING
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State | MD
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Zip | 20910-4959
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Country | US
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Telephone | 202-360-4787
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Fax |
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Provider Business Mailing Address
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Address Line | 13725 METCALF AVE STE 382
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City | OVERLAND PARK
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State | KS
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Zip | 66223-7899
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Country | US
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Telephone | 913-648-8880
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2007018588
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 2007018588
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC007370
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 78074
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License Number State | KS
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