Provider Demographics
NPI:1861975302
Name:YEMI-ESE, LOVELYN
Entity type:Individual
Prefix:
First Name:LOVELYN
Middle Name:
Last Name:YEMI-ESE
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 1:7515 LAS FLORES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4460
Mailing Address - Country:US
Mailing Address - Phone:832-533-7197
Mailing Address - Fax:
Practice Address - Street 1:7515 LAS FLORES DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4460
Practice Address - Country:US
Practice Address - Phone:832-533-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX610324163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse