Evans, Lawrence Glennon
Evans, Lawrence Glennon is an individual health care provider with primary practice located at 3824 Watson Rd , Saint Louis MO 63109-1237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Evans, Lawrence Glennon can be contacted via phone (314) 352-4400.Contact Information
Primary practice address
3824 Watson Rd
Saint Louis MO 63109-1237
Phone: (314) 352-4400
Fax: (314) 352-8496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 31680 | Missouri |
Profile Details
| NPI number | 1356347843 |
|---|---|
| LBN Legal business name | Evans, Lawrence Glennon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356347843 | NPPES |
| Missouri | Other | 0900150 | UNITED HEALTHCARE |
| Missouri | Other | 21931 | UNITED HEALTHCARE |
| Missouri | Other | 49982 | UNITED HEALTHCARE |
| Missouri | Other | 009102 | UNITED HEALTHCARE |
| Missouri | Other | 100636 | UNITED HEALTHCARE |
| Missouri | Other | 200015590 | UNITED HEALTHCARE |
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