Whalio Doctors

NPI 1508196411

Lisa Williams

Practitioner Licensed Vocational Nurse Fort Walton Beach, FL

Practice location

Address
114 3rd St SE, Fort Walton Beach, FL 32548-5401
Phone
(850) 243-6134
Fax
(850) 243-9759
Mailing address
253 E Marigold Ave, Defuniak Springs, FL 32433-6518

Registered specialties

Licensed Vocational Nurse Primary
Nursing Service Providers Taxonomy 164X00000X Licence PN 5150203 (FL)

Registry record

NPI
1508196411
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Dec 2009
Record last updated
29 Dec 2009

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.