# LAKESIDE INTERNAL MEDICINE ASSOCIATES,LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346486032
- **Authorized official:** DR. DAVID A EVANS D.O. (OWNER)
- **Authorized official phone:** (856) 374-5304

## Contact information

- **Practice address:** 1300 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
- **Practice address phone:** (856) 374-5304
- **Mailing address:** 1300 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
- **Mailing address phone:** (856) 374-5304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MB47569 | NJ | Yes |

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 12/30/2008