Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | N/A | VA |
NPI | 1013200104 |
---|---|
Provider Name | Dr. Dawn L Williams |
First Address | Mc Lean, VA 22102-4416 |
Second Address | Mc Lean, VA 22102-4416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2011 |
Last Update Date | 28/08/2020 |