Healthcare Provider Details

I. General information

NPI: 1922928001
Provider Name (Legal Business Name): EVAN LUCAS GYORKO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 S DELAWARE ST
OSCEOLA IA
50213-1566
US

IV. Provider business mailing address

322 S DELAWARE ST
OSCEOLA IA
50213-1566
US

V. Phone/Fax

Practice location:
  • Phone: 641-217-6626
  • Fax:
Mailing address:
  • Phone: 641-217-6626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number127525
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: