Individual
MRS. LISA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
482 GREASY CRK, OLIVE HILL, KY 41164-8479
(606) 776-0326
Mailing address
482 GREASY CRK, OLIVE HILL, KY 41164-8479
(606) 776-0326
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
1764
KY
174400000X
Specialist
Primary
—
KY
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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