Lawrence Akwasi Koduah

Primary specialty

PharmacistTaxonomy code 183500000X

License

051300952 Issued in IL

Practice address

1509 S Neil St
Champaign, IL 61820-6580

Phone

(217) 351-1516

NPI assigned

Jun 28, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1356028872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MORELAND BLVD UNIT 202",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221441",
            "telephone_number": "331-250-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206580",
            "telephone_number": "217-351-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODUAH",
        "first_name": "LAWRENCE",
        "middle_name": "AKWASI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Kluesner, DPM
• Molly Knoblett, DPT
• Kaitlin Knowles
• Alan Koch, PT
• Abraham Kocheril, M.D.
• Erin Koehn, LCPC
• Mary-Catherine Koerber, B.S., M.H.P.
• Joshua Koerner, DMD
• Corinne E Kohler, MD
• Jami Kohlmann, LMT

• Pharmacist in Champaign, IL
• Providers in Champaign, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.