Lucky Donald Anyanwu, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30612031 Issued in WI

Practice address

9310 N 107TH St
Milwaukee, WI 53224-1121

Phone

(414) 446-7771

Fax

(414) 760-2090

NPI assigned

Jan 27, 2012

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1629340252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241121",
            "telephone_number": "414-446-7771",
            "fax_number": "414-760-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241121",
            "telephone_number": "414-446-7771",
            "fax_number": "414-760-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "LUCKY",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "30612031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Anumolu
• Arya Anvar
• Saif Anwaruddin, MD
• Chioma Christiana Anyanwu
• Kinsey Anyanwu
• Anytime Anywhere Transportation
• Kate Savage Anzia, MS
• Ann Chinoyelum Apeh, PCW
• Ifeanyichukwu E Apeh, MFT
• Apex Care Mobility LLC

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.