Individual
LISA R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 OLSON DR, PAPILLION, NE 68046-4770
(402) 597-3336
Mailing address
619 OLSON DR, PAPILLION, NE 68046-4770
(402) 597-3336
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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