Individual
DOUGLAS LAWRENCE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DOCTOR OF CHIROPR
Contact information
Practice address
134 EXECUTIVE DR, SUITE 3, LAFAYETTE, IN 47905
(765) 448-6489
(765) 448-9775
Mailing address
PO BOX 5943, LAFAYETTE, IN 47903-5943
(765) 448-6489
(765) 448-9775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001417A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10787189
CAQH
—
Enumeration date
01/30/2007
Last updated
07/08/2007
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