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1831243971
LISA M WILLIAMS
PROVO, UT
NPI
1831243971
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Former Name
LISA M WHITAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 5328015-4405)
Enumeration Date
2007-01-23
Last Update Date
2023-11-27
Business Address
LISA M WILLIAMS NP
1055 N 500 W SUITE 111
PROVO, UT 84604-3305
Phone number: 801-374-8999
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Mailing Address
LISA M WILLIAMS NP
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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