Provider Demographics
NPI:1851985774
Name:TAYO NGUIMEYA, LUCEDY BESMER I
Entity Type:Individual
Prefix:DR
First Name:LUCEDY
Middle Name:BESMER
Last Name:TAYO NGUIMEYA
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 YORKHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1226
Mailing Address - Country:US
Mailing Address - Phone:513-302-6688
Mailing Address - Fax:
Practice Address - Street 1:898 YORKHAVEN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1226
Practice Address - Country:US
Practice Address - Phone:513-302-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health