# LISA C WILLIAMS MSN NURSE PRACTITIONER IN ADULT HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lisa C Williams P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629201256
- **Authorized official:** MRS. LISA CARMELLA WILLIAMS ANP (PRESIDENT)
- **Authorized official phone:** (516) 223-4717

## Contact information

- **Practice address:** 39 PORTERFIELD PL, FREEPORT, NY 11520-3340
- **Practice address phone:** (516) 223-4717
- **Practice address fax:** (516) 223-4717
- **Mailing address:** 39 PORTERFIELD PL, FREEPORT, NY 11520-3340
- **Mailing address phone:** (516) 223-4717
- **Mailing address fax:** (516) 223-4717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 304529 | NY | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009