Individual provider · NPI-1

Virginia Ann Evans, M.D.

Emergency Medicine · Lakewood, OH

NPI number1992746598
StatusActive
Last updated in NPPESApr 14, 2010

Details

NPI
1992746598
Entity type
Individual (NPI-1)
Name
Virginia Ann Evans
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 8, 2006
Last updated
Apr 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine35041617EOHYes

Practice location

14519 Detroit Ave
Lakewood, OH 44107-4316

Phone 216-521-4200

Mailing address

16500 Kenneth Ln
Lakewood, OH 44107-1132

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