Healthcare Provider Details

I. General information

NPI: 1487340782
Provider Name (Legal Business Name): LINDSEY WILLIAMS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 MAIN ST
GLOUCESTER VA
23061-5194
US

IV. Provider business mailing address

6609 MAIN ST
GLOUCESTER VA
23061-5194
US

V. Phone/Fax

Practice location:
  • Phone: 804-824-9153
  • Fax:
Mailing address:
  • Phone: 804-824-9153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102209808
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: