Individual
LACEY REBEKAH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 S PARK ST, ASHEBORO, NC 27203-5651
(336) 626-6371
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(910) 332-5666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016655
NC
363LF0000X
Family Nurse Practitioner
5016655
NC
Other
Enumeration date
08/04/2022
Last updated
07/16/2025
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