Provider Demographics
NPI:1366634651
Name:WILLIAMS, MARGARET LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 ROBERT DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-8810
Mailing Address - Country:US
Mailing Address - Phone:651-437-0359
Mailing Address - Fax:
Practice Address - Street 1:360 ROBERT DR
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-8810
Practice Address - Country:US
Practice Address - Phone:651-437-0359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3088111N00000X
NY2916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
49M63WIOtherBCBS