Doctor Name: | MRS. LAVON ROCHELL WILLIAMS |
NPI Number: | 1700113156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R864520 |
Business Practice Address: | 149 Hart St Sheppard Afb, TX - 763113430 |
Business Phone Number: | 9406766075 |
Business Fax Number: | |
Mailing Address: | 4317 Berwick Dr, WICHITA FALLS |
State: | TX |
Postal Code: | 763094812 |
Phone Number: | 4783026865 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2009 |
NPI Last Update Date: | 12/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | R864520 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |