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Individual
WILLIAM A LELL
Active
Individual
WILLIAM A LELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
06960
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018246
MISSISSIPPI MEDICAID
MS
01
—
010033CC71471
SECTION 1011
AL
01
—
3159
HEALTHSPRING OF ALABAMA
AL
01
—
C71471
VIVA
AL
Enumeration date
07/06/2006
Last updated
07/08/2007
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