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Individual

LISA R WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
9249 CARLIN ST, DETROIT, MI 48228-2528

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
04/01/2011
Last updated
04/01/2011
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  • EDI platform