NPI 1013515303

Donell Williams

Practitioner Prevention Professional Lorain, OH

Practice location

Address: 2314 Kelly Pl, Lorain, OH 44052-4838
Phone: (440) 246-4616
Fax: (440) 246-1997

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 173031 (OH)

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Registry record

NPI: 1013515303
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2020
Record last updated: 9 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.