Lisa Williams Rd LLC

NPI #1194345108 in Milton, Florida

Provider Information

NPI Number: 1194345108
Entity Type: Organization
Organization Name: Lisa Williams Rd LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 20, 2020
Last Updated: Apr 22, 2020

Practice Location

Address: 7070 MILTON CT
City: Milton
State: Florida
ZIP Code: 32583-5448
Phone: (850) 698-8706

Authorized Official

Name: LISA M TUCKER-WILLIAMS, RD
Title: PRESIDENT/OWNER
Phone: (850) 698-8706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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