Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivanka A. Vassileva, MD, PC

Organization Family Medicine Physician · NPI 1245428630

Ivanka A. Vassileva, MD, PC is a Family Medicine Physician in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4411 W Gore Blvd Ste B-10
Lawton, OK 73505-5977
Phone: (580) 354-9600
Fax: (580) 354-9621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22970 (OK)

Record details

NPI number1245428630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivanka Vassileva — Owner · (580) 354-9600
NPI enumeratedOctober 10, 2007
Last updated in NPPESFebruary 9, 2012
Mailing address4411 W Gore Blvd, Suite B-10, Lawton, OK 73505-5977

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