Provider Demographics
NPI:1245792803
Name:LAWAL, HALIMAT OMOBOLANLE (MD)
Entity Type:Individual
Prefix:MISS
First Name:HALIMAT
Middle Name:OMOBOLANLE
Last Name:LAWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:301 CHESTNUT STREET
Mailing Address - Street 2:APT 707
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101
Mailing Address - Country:US
Mailing Address - Phone:973-821-8277
Mailing Address - Fax:
Practice Address - Street 1:205 S. FRONT STREET
Practice Address - Street 2:SUITE 3C
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104
Practice Address - Country:US
Practice Address - Phone:717-231-8532
Practice Address - Fax:717-231-8535
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036159671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine