Provider Demographics
NPI:1386967776
Name:EVANS, HAROLD LANCE (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:LANCE
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1324 N SHERIDAN RD
Mailing Address - Street 2:VISTA HEALTH CENTER EAST DEPT OF PATHOLOGY
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-2161
Mailing Address - Country:US
Mailing Address - Phone:847-360-4105
Mailing Address - Fax:
Practice Address - Street 1:1324 N SHERIDAN RD
Practice Address - Street 2:VISTA HEALTH CENTER EAST DEPT OF PATHOLOGY
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-2161
Practice Address - Country:US
Practice Address - Phone:847-360-4105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2014-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY202320-1207ZP0102X
IL036132884207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology