Individual
LASONYA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR' OF SCIENCE
Contact information
Practice address
1440 E WISCONSIN ST, PORTAGE, WI 53901-2552
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
142495
WI
171M00000X
Case Manager/Care Coordinator
—
WI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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