Individual
LASARAH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
3703 NORTH ST, NACOGDOCHES, TX 75965-2432
(936) 715-7601
Mailing address
PO BOX 143, GARRISON, TX 75946-0143
(936) 715-7601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
917910
TX
Other
Enumeration date
08/20/2021
Last updated
02/22/2022
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