Individual
LLOYD LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
402 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3828
(575) 461-7100
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74922
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01503715
—
NM
Enumeration date
07/26/2023
Last updated
10/16/2023
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