Provider Demographics
NPI:1932428471
Name:LAMIKANRA, OPEYEMI ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:OPEYEMI
Middle Name:ELAINE
Last Name:LAMIKANRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-504-5678
Mailing Address - Fax:203-688-5599
Practice Address - Street 1:135 N PARK PL STE 101
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7237
Practice Address - Country:US
Practice Address - Phone:770-892-0300
Practice Address - Fax:470-878-1495
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2023-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA076202207XS0106X, 207X00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program