Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVANKA A VASSILEVA, MD
Active Sole ProprietorFamily Medicine · LAWTON, OK
Registration Details
- NPI Number
- 1295729929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2005 (20.646376971666 yrs)
- Last Updated
- Feb 9, 2012
- License
-
22970 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4411 W GORE BLVDSTE B10LAWTON, OK, 735055977Browse OK providers · Browse ZIP 73505
- Phone
- 5803549600
- Fax
- 5803549621
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LAWTON, OK
| Name | Credential | NPI |
|---|---|---|
| MARK W COTTON | DO | 1013911908 |
| KRISTA GORDON | MD | 1164426193 |
| DR. VERNON MICHAEL LOVE | M.D. | 1841295128 |
| LARRY C ATWOOD | M.D. | 1770582868 |
| DR. RENATO M CABALLERO | MD | 1306831458 |
| DR. ROBERT F HAY | MD | 1730174889 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.