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Individual

MS. LORAINE V WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1270 KOTNUM ROAD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2135
Mailing address
PO BOX 1209, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2135

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041-247202
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273855
OR
01
HSZ204
MEDICARE
Enumeration date
08/10/2010
Last updated
08/10/2010
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