Individual
TAMMY LYN YANOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104
(405) 271-6060
(405) 271-3013
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
133019
NC
207W00000X
Ophthalmology Physician
22907
OK
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
22907
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352880A
—
OK
Enumeration date
07/02/2006
Last updated
07/15/2020
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