Individual
MS. LEE MONIQUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, BATON ROUGE, LA 70808-4300
(225) 765-7163
(225) 765-7164
Mailing address
7777 HENNESSY BLVD, STE 2111, BATON ROUGE, LA 70808-4300
(225) 766-7163
(225) 765-7164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200363
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119940
—
LA
Enumeration date
07/20/2010
Last updated
04/26/2017
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