Provider Demographics
NPI:1871237263
Name:WILLIAMS, LINDSAY (PHD, RN)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 W 65TH PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-1815
Mailing Address - Country:US
Mailing Address - Phone:310-569-2897
Mailing Address - Fax:
Practice Address - Street 1:7672 AVALON BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-2346
Practice Address - Country:US
Practice Address - Phone:310-569-2897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA780525163WC1500X, 163WP2201X
FLRN9585932163WC1500X, 163WP2201X
NV830003163WC1500X, 163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health