Individual
LAURA M DEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
Mailing address
PO BOX 23250, EVANSVILLE, IN 47724-1250
(812) 424-8231
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
156819
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001152541
ANTHEM
IN
Enumeration date
01/30/2013
Last updated
04/11/2018
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