Provider Demographics
NPI:1013706894
Name:OLARERIN-OLAJUWON, LUCIA (APN)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:OLARERIN-OLAJUWON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349-351 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112-3631
Mailing Address - Country:US
Mailing Address - Phone:732-925-4565
Mailing Address - Fax:
Practice Address - Street 1:349-351 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-3631
Practice Address - Country:US
Practice Address - Phone:732-925-4565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF312152-01363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology