Provider Demographics
NPI:1659190536
Name:LEMIKAN, IDOWU ADESEWA
Entity type:Individual
Prefix:
First Name:IDOWU
Middle Name:ADESEWA
Last Name:LEMIKAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MILLPAINT LN APT 2B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3434
Mailing Address - Country:US
Mailing Address - Phone:443-529-4755
Mailing Address - Fax:
Practice Address - Street 1:19 HUNTING HORN CIR
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5332
Practice Address - Country:US
Practice Address - Phone:443-529-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide