MEDICARE: DR. CHRISTINE LUNDBERG WILLIAMS M.D.

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
1	208000000X	Pediatrics Physician	124863	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1801865969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE LUNDBERG WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	300 2ND STREET
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7402
Country	:	US
Telephone Number	:	914-582-6639
Fax Number	:	914-723-3272

Provider Business Practice Location Address
First Line	:	300 2ND STREET
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7402
Country	:	US
Telephone Number	:	914-582-6639
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	09/14/2012

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