Williams, Lisa M

Williams, Lisa M is an individual health care provider with primary practice located at 4003 Kresge Way Ste 400 , Louisville KY 40207-4652. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williams, Lisa M can be contacted via phone (502) 895-4263.

Contact Information

Primary practice address
4003 Kresge Way Ste 400 Louisville KY 40207-4652
Phone: (502) 895-4263
Fax: (502) 899-5488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4753P Kentucky

Profile Details

NPI number 1730360710
LBN Legal business name Williams, Lisa M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Dec 16th, 2020 - 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 1730360710 NPPES
Kentucky Other 50017859 PASSPORT- NCMA- ENDO
Kentucky Other 1055525 PASSPORT- NCMA- ENDO
Kentucky Other 4753P PASSPORT- NCMA- ENDO
Kentucky Other 3498297000 PASSPORT- NCMA- ENDO
Kentucky Other P00460513 PASSPORT- NCMA- ENDO
Kentucky Other 092426 PASSPORT- NCMA- ENDO
Kentucky Other 000023029M PASSPORT- NCMA- ENDO
Kentucky Other 200889880 PASSPORT- NCMA- ENDO
Kentucky Other 28095453A PASSPORT- NCMA- ENDO
Kentucky MEDICAID 7100024560 PASSPORT- NCMA- ENDO
Kentucky Other 000000545742 PASSPORT- NCMA- ENDO
Kentucky Other 611276316-053 PASSPORT- NCMA- ENDO

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