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BERTHA O LAWANI
150 KINGSLEY LANE NORFOLK VA 235054602
BERTHA O LAWANI is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1649511213. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8921321118. The primary specialty is NURSE PRACTITIONER. The organization is BON SECOURS DEPAUL MEDICAL CENTER, INC.. The address is 150 KINGSLEY LANE, , NORFOLK, VA, 235054602. The zip code is 235054602.
|Nation Provider ID||1649511213|
|PAC ID by PECOS||8921321118|
|Professional Enrollment ID||I20141218002497|
|Name||BERTHA O LAWANI|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||BON SECOURS DEPAUL MEDICAL CENTER, INC.|
|Group Practice PAC ID||4082517982|
|Number of Group Practice members||104|
|Address||150 KINGSLEY LANE, , NORFOLK, VA, 235054602|
|Hospital affiliation LBN||BON SECOURS DEPAUL MEDICAL CENTER, INC.|