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1194773549

NPI Code Detail

MEDICARE: LANCE WILLIAMS

MEDICARE: LANCE WILLIAMS

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
1	2085R0202X	Diagnostic Radiology Physician	036.118506	IL
2	2085R0202X	Diagnostic Radiology Physician	C1-0025587	DE
3	2085R0202X	Diagnostic Radiology Physician	9801558	NC
4	2085N0700X	Neuroradiology Physician	036.118506	IL
5	2085R0202X	Diagnostic Radiology Physician	U3055	TX

General Provider Information

NPI Number	:	1194773549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANCE WILLIAMS

Provider Business Mailing Address
First Line	:	23625 COMMERCE PARK STE 204
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5845
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 INDIANA AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-3364
Country	:	US
Telephone Number	:	806-775-8445
Fax Number	:	806-775-8412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	04/22/2026

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Directions to “ LANCE WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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