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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588665111 | NPPES |
California | Other | 00G458140 | MEDI CAL |
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