Lanre Abayomi
Individual provider Active NPI Pharmacist · Laurel, MD
NPI 1265958367 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265958367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13686 (MD)
- Practice address
- 12906 N Point LN
Laurel, MD 20708-2344 - Phone
- (301) 204-5147
- NPI assigned
- Aug 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13686 | MD | Yes |
Addresses
Primary practice location
12906 N Point LN
Laurel, MD 20708-2344
Mailing address
12906 N Point LN
Laurel, MD 20708-2344
Phone (301) 204-5147
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.