Individual
LANCE D WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1532 LONE OAK RD, SUITE 315, PADUCAH, KY 42003-7913
(270) 538-5880
(270) 538-5870
Mailing address
1532 LONE OAK RD, SUITE 315, PADUCAH, KY 42003-7913
(270) 538-5880
(270) 538-5870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007410
KY
363LF0000X
Family Nurse Practitioner
3007410
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100204800
—
KY
Enumeration date
05/02/2012
Last updated
10/29/2019
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