Individual
LAWRENCE GLENNON EVANS JR.
Active
Individual
LAWRENCE GLENNON EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31680
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009102
EXCLUSIVE CHOICE
MO
01
—
0900150
UNITED HEALTHCARE
MO
01
—
100636
HEALTHLINK
MO
01
—
200015590
MEDICARE RAILROAD
MO
01
—
21931
BLUE CROSS/BLUE SHIELD
MO
01
—
49982
GROUP HEALTH PLAN GHP
MO
Enumeration date
06/21/2005
Last updated
07/08/2007
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