Evans, Lisa Smith

Evans, Lisa Smith is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Evans, Lisa Smith can be contacted via phone (336) 718-5095.

Contact Information

Primary practice address
3333 Silas Creek Pkwy Winston Salem NC 27103-3013
Fax: (336) 718-9895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 37824 North Carolina

Profile Details

NPI number 1952494122
LBN Legal business name Evans, Lisa Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Dec 11th, 2012 - about 14 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 1952494122 NPPES
North Carolina Other 30913 BLUECROSS/ BLUESHIELD
North Carolina MEDICAID 7930913 BLUECROSS/ BLUESHIELD
North Carolina MEDICAID 5860342 BLUECROSS/ BLUESHIELD
North Carolina Other 97951 BLUECROSS/ BLUESHIELD
North Carolina Other 0194185006 BLUECROSS/ BLUESHIELD
North Carolina Other 2790 BLUECROSS/ BLUESHIELD
North Carolina Other 2408400 BLUECROSS/ BLUESHIELD

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