Individual ProviderLaide AkinbobolaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9103 Woodmore Center Dr # 634, Lanham, MD 20706-1653(301) 442-7882PECOS EnrollmentBased on the most recent information from CMS, provider Laide Akinbobola is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1992446009Provider TypeIndividualFull NameAkinbobola, LaideGenderFemaleSole ProprietorYesEnumeration Date4/5/2022Last Updated4/5/2022Contact InformationPractice LocationPractice Address9103 Woodmore Center Dr # 634, Lanham, MD 20706-1653Phone(301) 442-7882FaxUnlisted FaxMailing LocationMailing Address9103 Woodmore Center Dr # 634, Lanham, MD 20706-1653PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR223501Maryland