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Lisa Susan Williams, AGPCNP
Adult Health Nurse Practitioner in Medford, New York
NPI 1487216743

Lisa Susan Williams is an Adult Health Nurse Practitioner based in Oakdale, NY and is specialized in Adult Health. Lisa Susan Williams practices in Medford, NY and has the professional credentials of AGPCNP. The NPI Number for Lisa Susan Williams is 1487216743 and holds a License No. 309193 (New York).

The current practice location address for Lisa Susan Williams is 76 Southaven Ave Ste 5, Medford, NY and can be reached out via phone at 631-447-8860.

Location: 76 Southaven Ave Ste 5, Medford, NY, 11769-1438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487216743
Provider Name
Lisa Susan Williams
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
76 Southaven Ave Ste 5, Medford, NY, 11769-1438
Phone Number
631-447-8860
Fax Number
Provider Enumeration Date
07/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
76 Southaven Ave Ste 5
City
Medford
State
New York
Zip
11763-3745
Phone Number
631-447-8860
Fax Number
person
Provider Business Mailing Address Details
Address
76 Southaven Ave Ste 5
City
Medford
State
New York
Zip
11763-3745
Phone Number
631-447-8860
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
309193 (New York)
Definition
Definition to come...
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