Provider Demographics
NPI:1609181239
Name:OLAOSEBIKAN, FOLAKE ESTHER (MBBS)
Entity Type:Individual
Prefix:DR
First Name:FOLAKE
Middle Name:ESTHER
Last Name:OLAOSEBIKAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:FOLAKE
Other - Middle Name:ESTHER
Other - Last Name:OYAWOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:6604 NW EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5627
Mailing Address - Country:US
Mailing Address - Phone:347-967-7895
Mailing Address - Fax:
Practice Address - Street 1:5606 SW LEE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9688
Practice Address - Country:US
Practice Address - Phone:580-699-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30630208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics