Individual
EVAN LASHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 RESEARCH PKWY, OKLAHOMA CITY, OK 73104-3609
(405) 555-5555
Mailing address
865 RESEARCH PKWY, OKLAHOMA CITY, OK 73104-3609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
04/16/2021
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