Ogbonlowo, Olufunmilola Modupe

Ogbonlowo, Olufunmilola Modupe is an sole proprietor health care provider with primary practice located at 19465 Deerfield Ave Ste 309 , Lansdowne VA 20176-1705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Lactation Consultant, Non-RN. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ogbonlowo, Olufunmilola Modupe can be contacted via phone (571) 293-2424.

Contact Information

Primary practice address
19465 Deerfield Ave Ste 309 Lansdowne VA 20176-1705
Phone: (571) 293-2424
Fax: (972) 947-5370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101263837 Virginia
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 10421511 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301107153 Michigan

Profile Details

NPI number 1174926679
LBN Legal business name Ogbonlowo, Olufunmilola Modupe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2014
Last updated Nov 30th, 2021 - about 4 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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