Individual
LAWRENCE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(404) 754-5059
Mailing address
PO BOX 956162, DULUTH, GA 30095-9503
(404) 754-5059
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9446981
FL
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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