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Individual

DR. LAURA R. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3230 BLATTNER DR., CAPE GIRARDEAU, MO 63703-6380
(573) 334-2020
(573) 334-2915
Mailing address
3230 BLATTNER DR., CAPE GIRARDEAU, MO 63703-6380
(573) 334-2020
(573) 334-2915

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03451
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
314852815
MO
Enumeration date
11/17/2006
Last updated
07/08/2007
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