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Individual

LISA M WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
7608 HARVEST LN, PORTAGE, MI 49002-9454
(269) 491-3263
(269) 327-1560

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9301737
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001728900
FL
05
115570
AL
01
592-09888
BLUE CROSS BLUE SHIELD
AL
01
G006C
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/29/2009
Last updated
10/22/2025
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