Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 2012-01971 | NC |
NPI | 1023327426 |
---|---|
Provider Name | Adetoye Lufadeju |
First Address | High Point, NC 27262-7008 |
Second Address | High Point, NC 27262-8195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2010 |
Last Update Date | 01/11/2012 |