Provider Demographics
NPI:1215578091
Name:EFOBI, LUCY OGECHI (DNP)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:OGECHI
Last Name:EFOBI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:194 CLINTON AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-2809
Mailing Address - Country:US
Mailing Address - Phone:862-240-1461
Mailing Address - Fax:862-240-1465
Practice Address - Street 1:194 CLINTON AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-2809
Practice Address - Country:US
Practice Address - Phone:862-240-1461
Practice Address - Fax:862-240-1465
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00968300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily