Provider Demographics
NPI:1417985433
Name:EVANS, PAUL LAWSON JR (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:LAWSON
Last Name:EVANS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 J CLYDE MORRIS BLVD
Practice Address - Street 2:SUITE 602
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1929
Practice Address - Country:US
Practice Address - Phone:757-534-5511
Practice Address - Fax:757-534-5515
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-11-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101054214208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)