Individual
LAVONNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9819 AVRO RD, MIDDLE RIVER, MD 21220-1705
(410) 688-0323
Mailing address
9819 AVRO RD, MIDDLE RIVER, MD 21220-1705
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP49674
MD
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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