Provider Demographics
NPI:1285527952
Name:AYONGUBA, LOIS ANOBIT
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:ANOBIT
Last Name:AYONGUBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5094 OAK CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2625
Mailing Address - Country:US
Mailing Address - Phone:513-593-7558
Mailing Address - Fax:
Practice Address - Street 1:5094 OAK CREEK TRL
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2625
Practice Address - Country:US
Practice Address - Phone:513-593-7558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver