Healthcare Provider Details

I. General information

NPI: 1366646028
Provider Name (Legal Business Name): TAMMI MARIE LAHR D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 S 79TH EAST AVE
TULSA OK
74145-1316
US

IV. Provider business mailing address

6600 S YALE AVE SUITE 1400
TULSA OK
74136-3310
US

V. Phone/Fax

Practice location:
  • Phone: 918-663-6228
  • Fax:
Mailing address:
  • Phone: 918-488-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4309
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: