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NPI Code Detail

MEDICARE: MS. LISA WILLIAMS

MEDICARE: MS. LISA 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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1467583849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA WILLIAMS
Provider Business Mailing Address
First Line : 8019 COMPTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-3409
Country : US
Telephone Number : 323-586-7333
Fax Number :
Provider Business Practice Location Address
First Line : 8019 COMPTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-3409
Country : US
Telephone Number : 323-586-7333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 10/16/2018

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