Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 5008 | AL |
NPI | 1013027523 |
---|---|
Provider Name | Dr. Lauri M. Williams |
First Address | Alabaster, AL 35007-8767 |
Second Address | Alabaster, AL 35007-8767 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35721 | (02) | AL |