Lawrence, Ibiyonu Omowunmi
Lawrence, Ibiyonu Omowunmi is an individual health care provider with primary practice located at 125 Paterson St , New Brunswick NJ 08901-1962. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lawrence, Ibiyonu Omowunmi can be contacted via phone (732) 235-6968.Contact Information
Primary practice address
125 Paterson St
New Brunswick NJ 08901-1962
Phone: (732) 235-6968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 25MA0835900 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD439522 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 25MA08359900 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08359900 | New Jersey |
Profile Details
| NPI number | 1508829318 |
|---|---|
| LBN Legal business name | Lawrence, Ibiyonu Omowunmi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508829318 | NPPES |
| Pennsylvania | MEDICAID | 102517277 |
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