Individual
LYDIA M EVANS
Active
Individual
LYDIA M EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
153287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0486480
AETNA/U.S.HEALTHCARE
NY
01
—
39H78
BLUE SHIELD
NY
01
—
5C6087
HEALTHNET
NY
01
—
WP518
OXFORD
NY
Enumeration date
07/25/2006
Last updated
05/20/2008
Update your record
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