LAWRENCE ODUSANYA
NPI 1902127160
Licensed Practical Nurse in Staten Island, NY

Active since June 22, 2010
54 DOREEN DR, STATEN ISLAND, NY 10303(718) 619-5090 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lawrence Odusanya NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE ODUSANYA (NPI 1902127160) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (256310) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1902127160
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameLAWRENCE ODUSANYA
Location Address54 DOREEN DRStaten Island, NY 10303-2135
Mailing Address54 Doreen DrStaten Island, NY 10303-2135 · (718) 619-5090
Sole ProprietorNo
Enumeration DateJune 22, 2010
NPI 1902127160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 256310
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

54 DOREEN DR, Staten Island, NY 10303

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
54 DOREEN DR
STATEN ISLAND, NY 10303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902127160, enumerated as an "individual" on June 22, 2010.

The provider is located at 54 DOREEN DR STATEN ISLAND, NY 10303 and the phone number is (718) 619-5090.

Licensed Practical Nurse with taxonomy code 164W00000X.