Provider Demographics
NPI:1154908820
Name:LAWRENCE-BELLO, TEMITOPE OLAJUMOKE (MD)
Entity type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:OLAJUMOKE
Last Name:LAWRENCE-BELLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MAIN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1479
Mailing Address - Country:US
Mailing Address - Phone:302-659-4490
Mailing Address - Fax:302-659-4495
Practice Address - Street 1:100 S MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1479
Practice Address - Country:US
Practice Address - Phone:302-659-4490
Practice Address - Fax:302-659-4495
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0026610207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine