Individual
LAVANYA YOHANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3577 W 13 MILE RD STE 310, ROYAL OAK, MI 48073-6710
(248) 329-3060
Mailing address
24 FRANK LLOYD WRIGHT DR, SUITE J2000, ANN ARBOR, MI 48105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301504316
MI
208600000X
Surgery Physician
62199
MN
208600000X
Surgery Physician
LP02287
RI
Other
Enumeration date
07/19/2011
Last updated
04/21/2026
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