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NPI Code Detail

MEDICARE: ZOE LORENZ EVANS

MEDICARE:   ZOE LORENZ EVANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1639919962
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE LORENZ EVANS
Provider Business Mailing Address
First Line : 2845 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5264
Country : US
Telephone Number : 916-216-4671
Fax Number :
Provider Business Practice Location Address
First Line : 2845 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5264
Country : US
Telephone Number : 916-216-4671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2024
Last Update Date : 05/24/2024

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Directions to “ ZOE LORENZ EVANS ” Practice Location

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