Provider Demographics
NPI:1952283491
Name:GEORGE-KOKU, LYDIA EMMANUELLA
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:EMMANUELLA
Last Name:GEORGE-KOKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:
Other - Last Name:KOKU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21 N 50TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-3795
Mailing Address - Country:US
Mailing Address - Phone:267-797-6903
Mailing Address - Fax:
Practice Address - Street 1:21 N 50TH ST APT 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-3795
Practice Address - Country:US
Practice Address - Phone:267-797-6903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula