NPI 1003139023

Lawrence Olalere Fawole, LPN

Practitioner Licensed Practical Nurse Staten Island, NY

Practice location

Address: 47 Arlington Ave Bsmt, Staten Island, NY 10303-1601
Phone: (718) 442-1463

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 290415-1 (NY)

Other Licensed Practical Nurse providers in New York →

Registry record

NPI: 1003139023
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2010
Record last updated: 4 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.