| Organization Name: | LEE A. EVSLIN, M.D. INC |
| NPI Number: | 1033427331 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEE A EVSLIN (PRESIDENT) |
| Mailing Address: | 4-1558 Kuhio Hwy Kapaa |
| State: | HI US |
| Postal Code: | 967461856 |
| Phone Number: | 8088224844 |
| Fax Number: | 8088212922 |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 09/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |