Provider Demographics
NPI:1205825510
Name:EVANS, JUDITH A (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:EVANS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:29001 CEDAR RD
Mailing Address - Street 2:STE 518
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4041
Mailing Address - Country:US
Mailing Address - Phone:440-646-8200
Mailing Address - Fax:440-646-8211
Practice Address - Street 1:29001 CEDAR RD
Practice Address - Street 2:STE 518
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-4041
Practice Address - Country:US
Practice Address - Phone:440-646-8200
Practice Address - Fax:440-646-8211
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2013-05-03
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Provider Licenses
StateLicense IDTaxonomies
OH35049829E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology