Individual
DR. LOURENS JOHAN WILLEKES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0535
(352) 627-4173
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301104138
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
81459
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME155131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129792900
—
FL
Enumeration date
09/27/2006
Last updated
05/08/2026
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