Individual
LEAMON D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 PROVIDENT DR STE B, WARSAW, IN 46580
(574) 269-8301
(574) 269-8302
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01055088A
IN
207X00000X
Orthopaedic Surgery Physician
344259
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200042524
RAIL ROAD MEDICARE
IN
05
—
200356920
—
IN
05
—
2298820
—
OH
Enumeration date
08/09/2005
Last updated
02/03/2025
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