Individual
MRS. LISA WILIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8237 A OKATIBBEE DAM RD, COLLINSVILLE, MS 39325
(601) 480-0319
Mailing address
8237 A OKATIBBEE DAM RD, COLLINSVILLE, MS 39325
(601) 480-0319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R877657
MS
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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