Individual
LENORE I EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000
(612) 449-0004
Mailing address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000
(612) 449-0004
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
33991
MN
2085R0202X
Diagnostic Radiology Physician
33991
MN
Other
Enumeration date
09/10/2012
Last updated
03/22/2024
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