Individual
LINDSEY CARLISLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
4744 UMBRIA ST, PHILADELPHIA, PA 19127-1921
(614) 506-4375
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OT015748
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/04/2013
Last updated
11/20/2017
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