Provider Demographics
NPI:1023821188
Name:YAMAMOTO, LINDA JEAN (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:YAMAMOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16425 SPARROW POINT WAY
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-3104
Mailing Address - Country:US
Mailing Address - Phone:303-999-6586
Mailing Address - Fax:
Practice Address - Street 1:16425 SPARROW POINT WAY
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-3104
Practice Address - Country:US
Practice Address - Phone:303-999-6586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30571207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine