Individual
LISA GAIL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 NORTHRIDGE DR, LEWISBURG, WV 24901-0010
(304) 497-0500
Mailing address
1305 WEBSTER RD, SUMMERSVILLE, WV 26651-1125
(304) 872-6503
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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