Provider Demographics
NPI:1336036177
Name:WILLIAMS CORREA, LOURDES
Entity type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:
Last Name:WILLIAMS CORREA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 491
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33845
Mailing Address - Country:US
Mailing Address - Phone:407-201-1916
Mailing Address - Fax:
Practice Address - Street 1:4071 BARBARA AVE
Practice Address - Street 2:
Practice Address - City:HANE CITY
Practice Address - State:FL
Practice Address - Zip Code:33844
Practice Address - Country:US
Practice Address - Phone:407-201-1916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9214257163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse