Provider Demographics
NPI:1407643380
Name:LAPITE, OMOWUNMI OMOLOLA
Entity type:Individual
Prefix:
First Name:OMOWUNMI
Middle Name:OMOLOLA
Last Name:LAPITE
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 1:15536 78TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2332
Mailing Address - Country:US
Mailing Address - Phone:718-666-1453
Mailing Address - Fax:
Practice Address - Street 1:15536 78TH ST APT 1
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2332
Practice Address - Country:US
Practice Address - Phone:718-666-1453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY793616163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health