Provider Demographics
NPI:1235816760
Name:OKAFOR, LILIAN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 FENWICK HILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:TOANO
Mailing Address - State:VA
Mailing Address - Zip Code:23168-9356
Mailing Address - Country:US
Mailing Address - Phone:937-248-6860
Mailing Address - Fax:
Practice Address - Street 1:905 COUSINS AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-6507
Practice Address - Country:US
Practice Address - Phone:804-458-6325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187347363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology