Provider Demographics
NPI:1710797659
Name:UDOYE, LOTANNA CLAIRE
Entity type:Individual
Prefix:
First Name:LOTANNA
Middle Name:CLAIRE
Last Name:UDOYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 BALTIMORE PIKE # PA
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-9141
Mailing Address - Country:US
Mailing Address - Phone:202-751-1989
Mailing Address - Fax:
Practice Address - Street 1:1570 BALTIMORE PIKE # PA
Practice Address - Street 2:
Practice Address - City:LINCOLN UNIVERSITY
Practice Address - State:PA
Practice Address - Zip Code:19352-9141
Practice Address - Country:US
Practice Address - Phone:202-751-1989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376K00000XNursing Service Related ProvidersNurse's Aide