Lawrence, Ibiyonu Omowunmi

Lawrence, Ibiyonu Omowunmi is an individual health care provider with primary practice located at 125 Paterson St , New Brunswick NJ 08901-1962. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lawrence, Ibiyonu Omowunmi can be contacted via phone (732) 235-6968.

Contact Information

Primary practice address
125 Paterson St New Brunswick NJ 08901-1962
Phone: (732) 235-6968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 25MA0835900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD439522 Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA08359900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08359900 New Jersey

Profile Details

NPI number 1508829318
LBN Legal business name Lawrence, Ibiyonu Omowunmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508829318 NPPES
Pennsylvania MEDICAID 102517277

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