| NPI | 1932696861 |
|---|---|
| Former Name | LAWANDA DENISE BUCKRAM TIMMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010571) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2025-01-19 |