Individual
LISA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4003 KRESGE WAY STE 400, LOUISVILLE, KY 40207-4652
(502) 895-4263
(502) 899-5488
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4753P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545742
ANTHEM- NORTON
KY
01
—
000023029M
HUMANA- NORTON
KY
01
—
092426
SIHO- NORTON
KY
01
—
1055525
RN LICENSE
KY
01
—
200889880
MEDICAID INDIANA- NORTON CMA
IN
01
—
28095453A
LICENSE
IN
01
—
3498297000
PASSPORT ADVANTAGE- NCMA- ENDO
KY
01
—
4753P
ARNP LICENSE
KY
01
—
50017859
PASSPORT- NCMA- ENDO
KY
01
—
611276316-053
TRICARE- NORTON
KY
05
—
7100024560
—
KY
01
—
P00460513
RAILROAD MEDICARE- NORTON CMA
KY
Enumeration date
11/19/2007
Last updated
12/16/2020
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