MEDICARE: MRS. FIAMMA 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	163W00000X	Registered Nurse	911621	TX

General Provider Information

NPI Number	:	1699631457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FIAMMA LAWAL

Provider Business Mailing Address
First Line	:	1731 HAZEL HEIGHTS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5007
Country	:	US
Telephone Number	:	915-227-7462
Fax Number	:

Provider Business Practice Location Address
First Line	:	1731 HAZEL HEIGHTS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5007
Country	:	US
Telephone Number	:	915-227-7462
Fax Number	:

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

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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