Provider Demographics
NPI:1205963154
Name:WILLIAMS, LLOYD FRANCIS (LPN)
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:FRANCIS
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S MOUNT AUBURN RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4910
Mailing Address - Country:US
Mailing Address - Phone:573-339-0900
Mailing Address - Fax:573-339-1851
Practice Address - Street 1:150 S MOUNT AUBURN RD
Practice Address - Street 2:SUITE 320
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4910
Practice Address - Country:US
Practice Address - Phone:573-339-0900
Practice Address - Fax:573-339-1851
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO040836164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse