Provider Demographics
NPI:1073735205
Name:WILLIAMS, LORI K (MSN APN)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 ALDERSGATE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6611
Mailing Address - Country:US
Mailing Address - Phone:501-666-7526
Mailing Address - Fax:501-660-7876
Practice Address - Street 1:1501 ALDERSGATE RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6611
Practice Address - Country:US
Practice Address - Phone:501-666-7526
Practice Address - Fax:501-660-7876
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO1434363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AROTH001Medicare UPIN