LEBAONE LLULU MOGOTSAKGOTLA AGPCNP-BC NPI 1023456134

NPI Information

NPI: 1023456134
Provider Name: LEBAONE LLULU MOGOTSAKGOTLA, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2020 BENTWORTH DR APT 440
HOUSTON, TX
ZIP 77077
Phone: (713) 562-8305
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Lebaone Llulu Mogotsakgotla, AGPCNP-BC is an adult health nurse practitioner in Houston, TX with 12 years of experience. Lebaone Llulu Mogotsakgotla, AGPCNP-BC NPI is 1023456134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2020 BENTWORTH DR APT 440
HOUSTON, TX
ZIP 77077-220
Phone: (713) 562-8305

The NPI 1023456134 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP123544	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	327062101	MEDICAID	TEXAS
2	318851YT8L	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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