Williams, Lillie Mae

Williams, Lillie Mae is an individual health care provider with primary practice located at 24853 Alessandro Blvd #4, Moreno Valley CA 92553-6102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Williams, Lillie Mae can be contacted via phone (915) 571-8518.

Contact Information

Primary practice address
24853 Alessandro Blvd #4 Moreno Valley CA 92553-6102
Phone: (915) 571-8518
Fax: (877) 778-9427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X G45814 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G45814 California

Profile Details

NPI number 1588665111
LBN Legal business name Williams, Lillie Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Apr 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588665111 NPPES
California Other 00G458140 MEDI CAL

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