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Individual
DR. ROBERT LAPP EVANS
Active
Individual
DR. ROBERT LAPP EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
147106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056822
GHI-HMO
NY
01
—
00020846401
UNIVERA
NY
01
—
000401120002
BLUE SHIELD NENY
NY
05
—
00811665
—
NY
01
—
021200700360
FIDELIS
NY
01
—
08169
MVP
NY
01
—
10000596
CDPHP
NY
01
—
10471359
CAQH
NY
01
—
77D831
BLUE CROSS BLUE SHIELD
NY
01
—
CD1981
RAILROAD MEDICARE GROUP #
—
Enumeration date
11/17/2005
Last updated
02/13/2008
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