Lalude, A. O'Tayo

Lalude, A. O'Tayo is an individual health care provider with primary practice located at 304 Lindbrook St , Henderson NV 89074-5087. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lalude, A. O'Tayo can be contacted via phone (502) 494-1725.

Contact Information

Primary practice address
304 Lindbrook St Henderson NV 89074-5087
Phone: (502) 494-1725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 21661 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21661 Kentucky

Profile Details

NPI number 1912951419
LBN Legal business name Lalude, A. O'Tayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912951419 NPPES
Kentucky MEDICAID 64216617

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