Individual
DR. LISA LYNN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-5222
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-5222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-00833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918304
—
NC
Enumeration date
08/26/2008
Last updated
01/25/2017
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