Lawrence G Evans Md Llc is an orthopedic surgery with a current address of 1011 Bowles Ave Suite 400 Fenton MO 63026-2395. The NPI is 1053644872, and the license number is 31680 (MO). It was issued on november 9, 2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on október 6, 2010.
Lawrence G Evans Md Llc can be reached by phone at 3148214884, by mail at 1836 Lackland Hill Pkwy Saint Louis MO 63146-3572, or by fax at 3148214885.
Lawrence Evans (Owner) is the authorized representative of the organization and can be reached at this phone number: 3148214884.
Name: Lawrence G Evans Md Llc
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: No
Authorized Name: Lawrence Evans
Authorized Title/Position: Owner
Contact Number: 3148214884
Practice Location Address:
1011 Bowles Ave Suite 400
Fenton
MO 63026-2395
Telephone Number: 3148214884
Fax Number: 3148214885
Mailing Address:
1836 Lackland Hill Pkwy
Saint Louis
MO 63146-3572
Telephone Number: 3149890300
Fax Number:
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1053644872
Enumeration Date: november 9, 2009
Last Update: október 6, 2010
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 31680
License State: MO
Taxonomy Group: 193200000x Multi-Specialty Group
Other Taxonomy (if any):
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier:
Code Type:
Identifier State:
Identifier Issuer:
Other Identifiers (if any):