Provider Demographics
NPI:1780192203
Name:LEMORU, OYETOKUNBO (FNP)
Entity type:Individual
Prefix:MRS
First Name:OYETOKUNBO
Middle Name:
Last Name:LEMORU
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 LEBANON RD STE 1003
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6088
Mailing Address - Country:US
Mailing Address - Phone:214-872-1232
Mailing Address - Fax:214-872-1237
Practice Address - Street 1:9555 LEBANON RD STE 1003
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6088
Practice Address - Country:US
Practice Address - Phone:214-872-1232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3085363LF0000X
NY355666363LF0000X
COC-APN.0103496-C-NP363LF0000X
TXAP136069363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health