Evans-Thomas, Lisa A

Evans-Thomas, Lisa A is an individual health care provider with primary practice located at 20952 E 12 Mile Rd Suite 200, Saint Clair Shores MI 48081-3200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Evans-Thomas, Lisa A can be contacted via phone (586) 771-4820.

Contact Information

Primary practice address
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200
Phone: (586) 771-4820
Fax: (586) 771-6620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704130480 Michigan

Profile Details

NPI number 1609951904
LBN Legal business name Evans-Thomas, Lisa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 26th, 2014 - about 12 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 1609951904 NPPES
Michigan Other CB9133 MEDICARE RAILROAD

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