Evans, Lawenica

Evans, Lawenica is an individual health care provider with primary practice located at 1450 Claiborne Ave , Shreveport LA 71103-4204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Evans, Lawenica can be contacted via phone (318) 813-2970.

Contact Information

Primary practice address
1450 Claiborne Ave Shreveport LA 71103-4204
Phone: (318) 813-2970
Fax: (318) 813-2981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTTZ11846 Louisiana

Profile Details

NPI number 1669977328
LBN Legal business name Evans, Lawenica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669977328 NPPES
Louisiana MEDICAID 1174173

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