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NPI Code Detail

MEDICARE: LONNA L WILLIAMS APRN

MEDICARE: LONNA L WILLIAMS APRN
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
1363LA2200XAdult Health Nurse PractitionerARNP 9425102FL
2363LA2200XAdult Health Nurse Practitioner71001597AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IR475ZOTHERFLMEDICARE
2P01134429OTHERINMEDICARE RR
3P01214620OTHERINRR MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851390918
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONNA L WILLIAMS APRN
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 5330 E STOP 11 RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6345
Country : US
Telephone Number : 317-893-1900
Fax Number : 317-893-1901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 02/28/2023

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Directions to “ LONNA L WILLIAMS APRN” Practice Location

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