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Individual

LONNA L WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001597A
IN
363LA2200X
Adult Health Nurse Practitioner
ARNP 9425102
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016694800
FL
05
200822790
IN
01
IR475Z
MEDICARE
FL
01
P01134429
MEDICARE RR
IN
01
P01214620
RR MEDICARE PTAN
IN
Enumeration date
07/20/2005
Last updated
02/28/2023
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