Provider Demographics
NPI:1013633932
Name:WILLIAMS, LADONYA SIERRA
Entity Type:Individual
Prefix:
First Name:LADONYA
Middle Name:SIERRA
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 1:568 WOODBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2794
Mailing Address - Country:US
Mailing Address - Phone:330-431-1400
Mailing Address - Fax:
Practice Address - Street 1:568 WOODBROOK RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2794
Practice Address - Country:US
Practice Address - Phone:330-431-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service