Individual
LISA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N 500 W, SUITE 111, PROVO, UT 84604-3305
(801) 374-8999
(801) 429-8063
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5328015-4405
UT
Other
Enumeration date
01/23/2007
Last updated
11/27/2023
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