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NPI Code Detail

MEDICARE: LAKESHIA WILLIAMS

MEDICARE: LAKESHIA 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
1363LW0102XWomen's Health Nurse PractitionerARNP9208068FL

General Provider Information

NPI Number : 1871995688
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKESHIA WILLIAMS
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-866-0929
Provider Business Practice Location Address
First Line : 13601 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33613-4427
Country : US
Telephone Number : 813-307-8058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2014
Last Update Date : 10/13/2014

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Directions to “ LAKESHIA WILLIAMS ” Practice Location

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