Provider Demographics
NPI:1295352813
Name:MCWILLIAMS, LILLIAN (RDN, PA-C)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:
Credentials:RDN, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HAWTHORN CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2028
Mailing Address - Country:US
Mailing Address - Phone:301-542-2494
Mailing Address - Fax:
Practice Address - Street 1:11881A E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4723
Practice Address - Country:US
Practice Address - Phone:407-322-8645
Practice Address - Fax:407-487-3379
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005602133VN1301X
FLPA9117826.363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology