Evans, Lisa Marie

Evans, Lisa Marie is an individual health care provider with primary practice located at 1010 W La Veta Ave Ste 750 , Orange CA 92868-4312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Evans, Lisa Marie can be contacted via phone (714) 361-6600.

Contact Information

Primary practice address
1010 W La Veta Ave Ste 750 Orange CA 92868-4312
Phone: (714) 361-6600
Fax: (714) 919-8804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP19437 California

Profile Details

NPI number 1346561057
LBN Legal business name Evans, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Jul 21st, 2022 - about 2 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 1346561057 NPPES
California Other CG5665 RAILROAD MEDICARE GROUP PTAN
California Other 1912919804 RAILROAD MEDICARE GROUP PTAN
California Other P01438733 RAILROAD MEDICARE GROUP PTAN
California MEDICAID 1912919804 RAILROAD MEDICARE GROUP PTAN

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