Lawal, Olushola

Lawal, Olushola is an individual health care provider with primary practice located at 2400 W 64Th St , Minneapolis MN 55423-1001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lawal, Olushola can be contacted via phone (612) 767-7222.

Contact Information

Primary practice address
2400 W 64Th St Minneapolis MN 55423-1001
Phone: (612) 767-7222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 33414 Minnesota
Other Service Providers / Case Manager/Care Coordinator 171M00000X 14449 Florida

Profile Details

NPI number 1720453715
LBN Legal business name Lawal, Olushola
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2015
Last updated Jun 26th, 2024 - about last year

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 1720453715 NPPES
Florida MEDICAID 1720453715

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