Provider Demographics
NPI:1457875783
Name:WILLIAMS, LUCRETIA RENEE
Entity Type:Individual
Prefix:MISS
First Name:LUCRETIA
Middle Name:RENEE
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 1:10945 REED HARTMAN HWY STE 216
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2853
Mailing Address - Country:US
Mailing Address - Phone:859-916-3538
Mailing Address - Fax:
Practice Address - Street 1:10945 REED HARTMAN HWY
Practice Address - Street 2:STE 216
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:859-916-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide