Provider Demographics
NPI:1346736139
Name:ATIROKO, LYNDA CHIDIMMA
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:CHIDIMMA
Last Name:ATIROKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LYNDA
Other - Middle Name:CHIDIMMA
Other - Last Name:OKALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11306 BIRKDALE CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-5202
Mailing Address - Country:US
Mailing Address - Phone:832-462-5566
Mailing Address - Fax:
Practice Address - Street 1:11306 BIRKDALE CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-5202
Practice Address - Country:US
Practice Address - Phone:832-462-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide