Individual
LANCE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
5973 MADRANO DR, SARASOTA, FL 34232-6931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9355046
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002238
FL
Other
Enumeration date
03/18/2019
Last updated
05/20/2019
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