Provider Demographics
NPI:1255422267
Name:WILLEKES, LOURENS J II (MD)
Entity type:Individual
Prefix:DR
First Name:LOURENS
Middle Name:J
Last Name:WILLEKES
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4700 WATERS AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-273-1100
Mailing Address - Fax:912-273-1111
Practice Address - Street 1:4700 WATERS AVE STE 400
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-273-1100
Practice Address - Fax:912-273-1111
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME155131208G00000X
MI4301104138208G00000X
GA81459208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)