Dr Oluwasegun Omoyemi Lijofi, MD | |
455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | |
(770) 962-3642 | |
(770) 962-3643 |
Full Name | Dr Oluwasegun Omoyemi Lijofi |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 455 Philip Blvd Ste 140, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073179842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30373 (Mississippi) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 97914 (Georgia) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
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Dr Oluwasegun Omoyemi Lijofi, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 | Dr Oluwasegun Omoyemi Lijofi, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 |
Srinand Mandyam, MD Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 Phone: 770-962-3642 Fax: 770-962-3643 | |
William J Epps, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4799 Sugarloaf Pkwy # G100, Lawrenceville, GA 30044 Phone: 770-929-9033 |