Healthcare Provider Details

I. General information

NPI: 1982335360
Provider Name (Legal Business Name): ELIZABETH WILLIAMS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5535 PEACH ST FL 1
ERIE PA
16509-2603
US

IV. Provider business mailing address

1 LECOM PL
ERIE PA
16505-2571
US

V. Phone/Fax

Practice location:
  • Phone: 814-868-3488
  • Fax: 814-868-3499
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS024151
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: