NPI 1255703203

Mojeed Lawal

Practitioner Driver Antioch, TN

Practice location

Address: 250 Hickory Hollow Pl, Antioch, TN 37013-3008
Phone: (720) 212-3667

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 189714 (TN)

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Registry record

NPI: 1255703203
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2015
Record last updated: 28 Oct 2015

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.