Provider Demographics
NPI:1265065619
Name:WILLIAMS, LUKAS JAMES (PA-C)
Entity type:Individual
Prefix:
First Name:LUKAS
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 8TH ST NW APT 725
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-8212
Mailing Address - Country:US
Mailing Address - Phone:336-681-2838
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW STE 600
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1051
Practice Address - Country:US
Practice Address - Phone:202-516-6336
Practice Address - Fax:833-200-5844
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-09724363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical