Individual provider · Type 1 NPI

Bolanle O. Aiyeola, LAGOS

Licensed Practical Nurse · Marietta, GA

NPI number 1023987450 Active

Practice location

2876 Bay Berry Dr SW
Marietta, GA 30008-5676

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN046546 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1023987450

Bolanle O. Aiyeola, LAGOS's National Provider Identifier is 1023987450, issued on Nov 3, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marietta, GA. The record was last updated on Nov 3, 2025.