Provider Demographics
NPI:1144451741
Name:EVANS, LAUREN KANEMI (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KANEMI
Last Name:EVANS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5599 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3821
Mailing Address - Country:US
Mailing Address - Phone:520-293-6740
Mailing Address - Fax:520-293-6771
Practice Address - Street 1:5599 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3821
Practice Address - Country:US
Practice Address - Phone:520-293-6740
Practice Address - Fax:520-293-6771
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13900T152W00000X
AK322152W00000X
AZOPT-002816152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist