Individual
EVAN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
(603) 640-1228
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3682
NH
363A00000X
Physician Assistant
PA.0007928
CO
Other
Enumeration date
07/08/2022
Last updated
07/29/2026
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