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Contact Information

LISA WILLIAMS
114 3RD ST SE
FORT WALTON BEACH, FL32548-5401
 Phone: 850-243-6134
 Fax: 850-243-9759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for LISA WILLIAMS · (Female)

NPI Number 1508196411
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2009
Last updated 12/29/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PN 5150203
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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