Individual
LAUREN EVONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4049 MAIN ST, CHINCOTEAGUE, VA 23336-2406
(757) 336-3682
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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