Individual
DR. CONNIE LORAINE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
22762 ASPAN ST, SUITE 200, LAKE FOREST, CA 92630-1604
(512) 633-9264
Mailing address
22762 ASPAN ST, SUITE 200, LAKE FOREST, CA 92630-1604
(512) 633-9264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31476
CA
Other
Enumeration date
09/25/2006
Last updated
04/07/2010
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