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Individual
DR. LAURA ANN WILLIAMS
Active
Individual
DR. LAURA ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G76077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G76077
—
CA
01
—
05D1051900
CLIA #
CA
01
—
10977784
CAQH #
CA
01
—
1457442121
NPI ORGANIZATION
CA
01
—
1861482531
NPI INDIVIDUAL
CA
01
—
G76077
MEDICAL LICENSE
CA
Enumeration date
10/25/2005
Last updated
03/07/2023
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