Lukula, Ayodeji E

Lukula, Ayodeji E is an individual health care provider with primary practice located at 143 North Street , Auburn NY 13021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lukula, Ayodeji E can be contacted via phone (315) 255-1999.

Contact Information

Primary practice address
143 North Street Auburn NY 13021
Fax: (315) 255-2194
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X NY193051 New York

Profile Details

NPI number 1649360819
LBN Legal business name Lukula, Ayodeji E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649360819 NPPES
New York MEDICAID 01466586

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