Most Relevant Information
Provider Data
| NPI Number: | 1003513623 |
| Provider Name: | LOLA OGUNDIPE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/14/2023 |
| Last Updated: | 02/14/2023 |
Provider Practice Location
2395 S HURON PKWY STE 100
ANN ARBOR
MI
481045170
Practice Location Phone/Fax
| Phone: | 7348822833 |
| Fax: |
Provider Mailing Location
2395 S HURON PKWY STE 100
ANN ARBOR
MI
481045170
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |