Provider Demographics
NPI:1740578350
Name:WILLIAMS, LORRAINE LEA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:LEA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:6581 COUNTY ROAD 21
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-0266
Mailing Address - Country:US
Mailing Address - Phone:530-865-8549
Mailing Address - Fax:
Practice Address - Street 1:828 NEWVILLE RD
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1109
Practice Address - Country:US
Practice Address - Phone:530-865-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-16
Last Update Date:2011-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH43412183500000X
NV10462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist