Provider Demographics
NPI:1932589496
Name:LAMO MEDICAL PC
Entity Type:Organization
Organization Name:LAMO MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ADEKUNLE
Authorized Official - Middle Name:OLALEKAN
Authorized Official - Last Name:BADIRU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-444-0866
Mailing Address - Street 1:420 WATKINS ST
Mailing Address - Street 2:SUITE 6M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5948
Mailing Address - Country:US
Mailing Address - Phone:973-619-9761
Mailing Address - Fax:
Practice Address - Street 1:420 WATKINS ST
Practice Address - Street 2:SUITE 6M
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5948
Practice Address - Country:US
Practice Address - Phone:973-619-9761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-31
Last Update Date:2015-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ254606261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health