| NPI | 1295764108 |
|---|---|
| Former Name | LAURA SHANNON WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 22979) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 22979) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OK 22979) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX N6124) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AR E7262) | |
| 208D00000X General Practice (Licence: TX N6124) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: LA MD.206032) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-05-19 |