Individual
LAUREN EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
Mailing address
3020 GLENEAGLES BLVD APT O, VALPARAISO, IN 46383-2685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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