Individual
JOHN LINDSEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 IDAHO ST, LEWISTON, ID 83501-2575
(208) 746-6068
Mailing address
1635 HEMLOCK AVE, LEWISTON, ID 83501-5908
(208) 746-6068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HA246
ID
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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