Provider Demographics
NPI:1982588679
Name:WILLIAMS, LAQUITTA (RN)
Entity type:Individual
Prefix:
First Name:LAQUITTA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:X
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-1950
Mailing Address - Country:US
Mailing Address - Phone:262-417-5446
Mailing Address - Fax:
Practice Address - Street 1:3101 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-1950
Practice Address - Country:US
Practice Address - Phone:262-417-5446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI263845-30163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management