MEDICARE: YINKA LAWAL

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1174094759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YINKA LAWAL

Provider Business Mailing Address
First Line	:	13355 CASTLEWELLAN DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2904
Country	:	US
Telephone Number	:	804-720-5164
Fax Number	:

Provider Business Practice Location Address
First Line	:	13355 CASTLEWELLAN DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2904
Country	:	US
Telephone Number	:	804-720-5164
Fax Number	:

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

Provider Enumeration Date	:	12/07/2018
Last Update Date	:	11/26/2024

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Directions to “ YINKA LAWAL ” Practice Location

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