Lara E Evans in Grand Rapids - Physician Assistant
Lara E Evans - NPI 1356343933
Lara E Evans is a Physician Assistant in Grand Rapids, Michigan. Lara E Evans practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lara E Evans is 1356343933. The last update date is 2013-12-10.
Lara E Evans's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169751845 and fax number 6162850846. The mailing address for Lara E Evans is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara E Evans |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6169751845 |
| Fax Number | 6162850846 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356343933 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2013-12-10 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6169751845 |
| Fax Number | 6162850846 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004831 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Lara E Evans's 1356343933?
The Lara E Evans's NPI (National Provider Identifier) Number is 1356343933. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lara E Evans?
The Lara E Evans is situated at 100 Michigan St Ne, in the city of Grand Rapids, state of MI, with the zip code 495032560.
What is Lara E Evans's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lara E Evans is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Lara E Evans receive its 1356343933 assignment?
The Lara E Evans was assigned its 1356343933 on 2005-08-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Lara E Evans most recently updated or revised?
The details related to Lara E Evans, including its address, specialty, and other relevant information, were last updated or revised on 2013-12-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY