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Individual

DR. JON ANTHONY YOKUBAITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09387R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180046392
RAILROAD MEDICARE
LA
05
1934542
LA
01
5508154
AETNA
LA
01
720680677015
CIGNA
LA
Enumeration date
11/16/2005
Last updated
05/19/2020
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