Individual
LAVERNE DENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19504 STEEL ST, DETROIT, MI 48235-1240
(313) 363-9481
Mailing address
19504 STEEL ST, DETROIT, MI 48235-1240
(313) 363-9481
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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