Williams, Lisa
Williams, Lisa is an sole proprietor health care provider with primary practice located at 1443 Beck Avenue , Cody WY 82414-3423. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Williams, Lisa can be contacted via phone (307) 527-7811.Contact Information
Primary practice address
1443 Beck Avenue
Cody WY 82414-3423
Phone: (307) 527-7811
Fax: (307) 527-7396
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 6662A | Wyoming |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 6662A | Wyoming |
Profile Details
NPI number | 1750376083 |
---|---|
LBN Legal business name | Williams, Lisa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2005 |
Last updated | Jun 20th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750376083 | NPPES |
Wyoming | MEDICAID | 117167400 |
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