Organization
LAKESHORE FAMILY MEDICINE ASSOCIATES, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ST. CLAIR WILLIAMS SR. M. D. (PHYSICIAN)
(318) 343-6487
Entity
Organization
Contact information
Practice address
516 LINCOLN RD, MONROE, LA 71203-4252
(318) 343-6487
(318) 343-7884
Mailing address
PO BOX 13430, MONROE, LA 71213-3430
(318) 343-6487
(318) 343-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685895
—
LA
Enumeration date
01/25/2011
Last updated
01/25/2011
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