Individual
LISA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 ST. MAURICE AVE, NEW ORLEANS, LA 70117-7011
(504) 319-7792
Mailing address
8900 TILFORD RD, NEW ORLEANS, LA 70127-2930
(504) 319-7792
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
LA
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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