Provider Demographics
NPI:1023340239
Name:WILLIAMS, LISA FAYE (NP)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:FAYE
Last Name:WILLIAMS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:330 BROOKLINE AVE. YAMINS 219
Mailing Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER, DEPT ANESTHESIA
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-3364
Mailing Address - Fax:617-667-5013
Practice Address - Street 1:330 BROOKLINE AVE. YAMINS 219
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER, DEPT ANESTHESIA
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-3364
Practice Address - Fax:617-667-5013
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2023-04-20
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Provider Licenses
StateLicense IDTaxonomies
MA228871363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner