Provider Demographics
NPI:1699112276
Name:LAWS, OLUWAFUNMILAYO O
Entity type:Individual
Prefix:
First Name:OLUWAFUNMILAYO
Middle Name:O
Last Name:LAWS
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 1:16 LIBERTY PL APT 3
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2542
Mailing Address - Country:US
Mailing Address - Phone:443-500-7041
Mailing Address - Fax:
Practice Address - Street 1:16 LIBERTY PL APT 3
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2542
Practice Address - Country:US
Practice Address - Phone:443-500-7041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide