Provider Demographics
NPI:1598055253
Name:OKOROAFOR, LABOURE ANTHONIA (MD)
Entity Type:Individual
Prefix:
First Name:LABOURE
Middle Name:ANTHONIA
Last Name:OKOROAFOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 3RD AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3256
Mailing Address - Country:US
Mailing Address - Phone:614-299-2557
Mailing Address - Fax:614-299-9311
Practice Address - Street 1:100 W 3RD AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3256
Practice Address - Country:US
Practice Address - Phone:614-299-2557
Practice Address - Fax:614-299-9311
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-121787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine