MEDICARE: DR. LISA K WILLIAMS D.C.

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	111N00000X	Chiropractor	CHIR002786	GA

General Provider Information

NPI Number	:	1952443343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA K WILLIAMS D.C.

Provider Business Mailing Address
First Line	:	3802 N DRUID HILLS RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-3015
Country	:	US
Telephone Number	:	404-874-2002
Fax Number	:	404-874-0390

Provider Business Practice Location Address
First Line	:	3802 N DRUID HILLS RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-3015
Country	:	US
Telephone Number	:	404-874-2002
Fax Number	:	404-874-0390

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	12/05/2023

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