Individual
DR. LYNNE H IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4415 S HARVARD AVE, SUITE 100, TULSA, OK 74135-2620
(918) 742-2502
(918) 745-9750
Mailing address
PO BOX 701074, TULSA, OK 74170-1074
(918) 742-2502
(918) 745-9750
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095350A
—
OK
Enumeration date
07/02/2006
Last updated
06/10/2009
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