MEDICARE: DR. TAMMI MARIE LAHR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	4309	OK

General Provider Information

NPI Number	:	1366646028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMI MARIE LAHR D.O.

Provider Business Mailing Address
First Line	:	6600 S YALE AVE
Second Line	:	SUITE 1400
City	:	TULSA
State	:	OK
Zip	:	74136-3310
Country	:	US
Telephone Number	:	918-488-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3218 S 79TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-1316
Country	:	US
Telephone Number	:	918-663-6228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	02/29/2008

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