Provider Demographics
NPI:1336885987
Name:LOKOYI, OLAWALE
Entity Type:Individual
Prefix:
First Name:OLAWALE
Middle Name:
Last Name:LOKOYI
Suffix:
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 1:55 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-2317
Mailing Address - Country:US
Mailing Address - Phone:347-977-2795
Mailing Address - Fax:
Practice Address - Street 1:55 OXFORD RD
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-2317
Practice Address - Country:US
Practice Address - Phone:134-797-7279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY581901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse