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Jacquelyn Tyra, OD

NPI 1154896363 · on the registry since 2018 · sole proprietor

Practice

Address
43490 Yukon Dr Ste 200
Ashburn, VA 20147
Phone
(703) 724-0330
Organisation at this address
S. J. Lan Dds Pllc
Greenway Smiles Family Dentistry
Laboratory Corporation Of America
Virginia Center For Medicine, Inc.
Center For Autism And Related Disorders
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia