Provider Demographics
NPI:1528766706
Name:LOKENDO, GEORGE LOKITA
Entity type:Individual
Prefix:
First Name:GEORGE LOKITA
Middle Name:
Last Name:LOKENDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3813 64TH AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1850
Mailing Address - Country:US
Mailing Address - Phone:140-764-9839
Mailing Address - Fax:
Practice Address - Street 1:3813 64TH AVE APT 202
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1850
Practice Address - Country:US
Practice Address - Phone:140-764-9839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide