Individual
MS. LAURIE S. EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7425 WRIGLEY DR., STE 204, PASCO, WA 99301-5292
(509) 547-0027
(509) 546-8386
Mailing address
STE 2047425 WRIGLEY DR. STE 204, 7426 WRIGLEY DR. STE 204, PASCO, WA 99301-5292
(509) 547-0027
(509) 546-8386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00032005
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020029975
MCR RR
—
05
—
1100528
—
WA
01
—
207464
OREGON WELFARE
OR
01
—
52019
LABOR AND INDUSTRIES
WA
01
—
52019
L AND I
—
01
—
EV2999
REGENCY
WA
05
—
P524103
—
ID
01
—
WAE319
QUALMED
WA
Enumeration date
12/04/2006
Last updated
10/31/2019
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