Evans, Laurie S.

Evans, Laurie S. is an sole proprietor health care provider with primary practice located at 7425 Wrigley Dr. Ste 204, Pasco WA 99301-5292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Evans, Laurie S. can be contacted via phone (509) 547-0027.

Contact Information

Primary practice address
7425 Wrigley Dr. Ste 204 Pasco WA 99301-5292
Phone: (509) 547-0027
Fax: (509) 546-8386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00032005 Washington

Profile Details

NPI number 1255499398
LBN Legal business name Evans, Laurie S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Oct 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255499398 NPPES
Washington MEDICAID 1100528
Washington MEDICAID P524103
Washington Other WAE319
Washington Other 020029975
Washington Other EV2999
Washington Other 52019
Washington Other 207464
Washington Other 52019

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