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NPI Code Detail

MEDICARE: MR. LONNIE C WILLIAMS JR.

MEDICARE:  MR. LONNIE C WILLIAMS JR.
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1053173344
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LONNIE C WILLIAMS JR.
Provider Business Mailing Address
First Line : 140 MUIRWOOD VILLAGE DR
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4036
Country : US
Telephone Number : 740-973-9506
Fax Number :
Provider Business Practice Location Address
First Line : 140 MUIRWOOD VILLAGE DR
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4036
Country : US
Telephone Number : 740-973-9506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2024
Last Update Date : 01/27/2024

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Directions to “ MR. LONNIE C WILLIAMS JR. ” Practice Location

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