Doctor Name: | ADETOYE LUFADEJU |
NPI Number: | 1023327426 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | |
Business Practice Address: | 4515 Premier Drive Suite 403 High Point, NC - 272628195 |
Business Phone Number: | 3368022930 |
Business Fax Number: | 3368022931 |
Mailing Address: | 1701 Westchester Dr, Suite 850 HIGH POINT |
State: | NC |
Postal Code: | 272627008 |
Phone Number: | 3368022536 |
Fax Number: | 3368022534 |
NPI Enumeration Date: | 10/02/2010 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |