Individual
LISA MCEVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806
(417) 851-1589
(417) 865-3479
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7241
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202031
CO
Other
Enumeration date
07/26/2013
Last updated
06/20/2018
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