Individual
MRS. LYDIA E WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 VALLEY FORGE DR APT 407, ALEXANDRIA, VA 22304-5610
(703) 772-3825
Mailing address
PO BOX 3435, WARRENTON, VA 20188-8035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001241419
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-2589470
KLACS
VA
Enumeration date
03/12/2021
Last updated
03/12/2021
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