Organization
LISA WILLIAMS RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M TUCKER-WILLIAMS RD (PRESIDENT/OWNER)
(850) 698-8706
Entity
Organization
Contact information
Practice address
7070 MILTON CT, MILTON, FL 32583-5448
(850) 698-8706
Mailing address
7070 MILTON CT, MILTON, FL 32583-5448
(850) 698-8706
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/22/2020
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