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JOHN LEE EVANS
OTHER

JOHN LEE EVANS is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1861508921. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3375668908. The primary specialty is . The organization is . The address is 15525 POMERADO RD, SUITE E 4, POWAY, CA, 920642427. The zip code is 920642427.


Nation Provider ID1861508921
PAC ID by PECOS3375668908
Professional Enrollment IDI20100920000141
NameJOHN LEE EVANS
Medical School NameOTHER
Graduation Year1989
Primary Specialty
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address15525 POMERADO RD, SUITE E 4, POWAY, CA, 920642427
Hospital affiliation LBN
Graduation Year1989
Contact Number8586739600
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]