Provider Demographics
NPI:1619506904
Name:LAOYE, TOLANI (RDLN)
Entity Type:Individual
Prefix:
First Name:TOLANI
Middle Name:
Last Name:LAOYE
Suffix:
Gender:F
Credentials:RDLN
Other - Prefix:
Other - First Name:TOLANI
Other - Middle Name:LAOYE
Other - Last Name:RUFAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDLN
Mailing Address - Street 1:537 IRVING ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2903
Mailing Address - Country:US
Mailing Address - Phone:240-605-6040
Mailing Address - Fax:
Practice Address - Street 1:537 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2903
Practice Address - Country:US
Practice Address - Phone:240-605-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNU111133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist