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Mr. Oghenero Lucky Olomukoro, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Alton, Illinois
NPI 1437899689

Oghenero Lucky Olomukoro is a Psychiatric/Mental Health Nurse Practitioner based in Alton, IL and is specialized in Psychiatric/Mental Health. Oghenero Lucky Olomukoro practices in Alton, IL and has the professional credentials of PMHNP-BC. The NPI Number for Oghenero Lucky Olomukoro is 1437899689 and holds a License No. (Illinois).

The current practice location address for Oghenero Lucky Olomukoro is 4 Memorial Dr Ste 210, Alton, IL and can be reached out via phone at 618-465-8829 and via fax at 618-465-5499.

Location: 4 Memorial Dr Ste 210, Alton, IL, 62002-6704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437899689
Provider Name
Oghenero Lucky Olomukoro
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4 Memorial Dr Ste 210, Alton, IL, 62002-6704
Phone Number
618-465-8829
Fax Number
618-465-5499
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Memorial Dr Ste 210
City
Alton
State
Illinois
Zip
62002-6704
Phone Number
618-465-8829
Fax Number
618-465-5499
person
Provider Business Mailing Address Details
Address
4 Memorial Dr Ste 210
City
Alton
State
Illinois
Zip
62002-6704
Phone Number
618-465-8829
Fax Number
618-465-5499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209025704 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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