Individual
MS. LISA VICTORIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 453-0150
Mailing address
2336 REGATTA CT, LAKE HAVASU CITY, AZ 86404-2042
(928) 566-7337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2884
AZ
Other
Enumeration date
07/27/2006
Last updated
08/04/2008
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