Provider Demographics
NPI:1548041825
Name:OKORJI, LYDIA OKPELI
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:OKPELI
Last Name:OKORJI
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 1:5115 BASS PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6305
Mailing Address - Country:US
Mailing Address - Phone:240-708-5448
Mailing Address - Fax:
Practice Address - Street 1:400 N CAPITOL ST NW LBBY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1511
Practice Address - Country:US
Practice Address - Phone:240-708-5448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator