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Individual

LAWRENCE MERLIN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
120 WARWICK ST, L M EVANS PC, ALMA, MI 48801
(989) 463-3937
(989) 463-4694
Mailing address
PO BOX 455, 120 WARWICK ST L M EVANS PC, ALMA, MI 48801
(989) 463-3937
(989) 463-4694

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5101007935
MI
207W00000X
Ophthalmology Physician
Primary
LE007935
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111558970
MI
05
155897311
MI
Enumeration date
04/18/2006
Last updated
03/23/2012
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