Individual
LISA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4417
Mailing address
7331 SCHOOL LN, ELKINS PARK, PA 19027-3143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN578466
PA
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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