Provider Demographics
NPI:1518535731
Name:WILLIAMS, LEMIA SHANTEL
Entity Type:Individual
Prefix:
First Name:LEMIA
Middle Name:SHANTEL
Last Name:WILLIAMS
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 1:4041 SAMUELL BLVD APT 245
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-9118
Mailing Address - Country:US
Mailing Address - Phone:469-709-0207
Mailing Address - Fax:
Practice Address - Street 1:4041 SAMUELL BLVD APT 245
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-9118
Practice Address - Country:US
Practice Address - Phone:469-709-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care