Individual
EVAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 W BROADWAY, UNIT 204, EUGENE, OR 97401-3021
(734) 545-5995
Mailing address
250 W BROADWAY, UNIT 204, EUGENE, OR 97401-3021
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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