Provider Demographics
NPI:1336936731
Name:ADEBOYE, LAMETU
Entity type:Individual
Prefix:
First Name:LAMETU
Middle Name:
Last Name:ADEBOYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 BRIGHT HILL DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5182
Mailing Address - Country:US
Mailing Address - Phone:347-500-2410
Mailing Address - Fax:
Practice Address - Street 1:11104 W AIRPORT BLVD STE 121
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3016
Practice Address - Country:US
Practice Address - Phone:346-215-0862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker