Provider Demographics
NPI:1689975096
Name:EVANS, LORRAINE SCHIMMING
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:SCHIMMING
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 BENSONHURST LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2800
Mailing Address - Country:US
Mailing Address - Phone:702-275-9062
Mailing Address - Fax:702-563-8145
Practice Address - Street 1:2727 BENSONHURST LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2800
Practice Address - Country:US
Practice Address - Phone:702-275-9062
Practice Address - Fax:702-563-8145
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner