Individual
MISS LOIS JEAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
480 FERN AVE, TAVARES, FL 32778-3901
(352) 409-1580
(352) 343-9262
Mailing address
480 FERN AVE, TAVARES, FL 32778-3901
(352) 409-1580
(352) 343-9262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1358171
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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