Individual
LISA SMITH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5095
(336) 718-9895
Mailing address
PO BOX 30337, WINSTON SALEM, NC 27130-0337
(336) 718-8592
(336) 718-9269
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194185006
CIGNA HEALTHCARE
—
01
—
2408400
UNITED HEALTH CARE
—
01
—
2790
PARTNERS NATIONAL HEALTH
—
01
—
30913
BLUECROSS/ BLUESHIELD
NC
05
—
5860342
—
VA
05
—
7930913
—
NC
01
—
97951
MEDCOST
—
Enumeration date
10/02/2006
Last updated
12/11/2012
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