Individual
MS. LINDSEY NICOLE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2689
(254) 778-7196
Mailing address
2411 W ELM MOTT DR, WACO, TX 76705-5304
(254) 717-3998
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP126723
TX
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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