Individual
LORA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60643492
WA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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