Individual
LAUREN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1117850
NCCPA
CA
01
—
51649
CA PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
06/16/2014
Last updated
09/20/2019
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